Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $39.39 / $57.19	Facility		$18.14	$39.39	$57.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.43 / $45.38	Professional		$18.14	$18.43	$45.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $29.22 / $51.73	Facility		$19.60	$29.22	$51.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $30.60	Professional		$18.14	$18.14	$30.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $18.14 / $30.86	Facility		$18.14	$18.14	$30.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $24.50	Professional		$18.14	$18.14	$24.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $17.12 / $18.14	Facility		$17.12	$17.12	$18.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $38.36	Professional		$18.14	$18.14	$38.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $38.36	Professional		$18.14	$18.14	$38.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $22.98 / $26.31	Professional		$19.96	$22.98	$26.31
United Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $18.14 / $21.78	Professional		$17.23	$18.14	$21.78