Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $31.12 / $47.75	Facility		$14.34	$31.12	$47.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $14.34 / $35.85	Professional		$14.25	$14.34	$35.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $23.09 / $40.86	Facility		$15.49	$23.09	$40.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $24.83	Professional		$14.34	$14.34	$24.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $14.34 / $21.40	Facility		$14.12	$14.34	$21.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.34 / $19.36	Professional		$14.12	$14.34	$19.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $13.53 / $14.34	Facility		$13.53	$13.53	$14.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $35.29	Professional		$14.34	$14.34	$35.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $35.29	Professional		$14.34	$14.34	$35.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $17.92 / $20.47	Professional		$15.53	$17.92	$20.47
United Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $16.05 / $20.14	Professional		$14.34	$16.05	$20.14