Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $165.00 / $14,600.00	Facility		$35.86	$165.00	$14,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $37.72 / $7,695.60	Professional		$31.09	$37.72	$7,695.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.58 / $50.05 / $77.95	Facility		$33.58	$50.05	$77.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $62.04	Professional		$31.09	$31.09	$62.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $31.18 / $46.95	Facility		$31.09	$31.18	$46.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.18 / $41.97	Professional		$31.09	$31.18	$41.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $29.33 / $31.09	Facility		$29.33	$29.33	$31.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $76.23	Professional		$31.09	$31.09	$76.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $55.85 / $150.96	Facility		$29.33	$55.85	$150.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $116.75	Professional		$31.09	$31.09	$116.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $48.56 / $63.36	Professional		$38.15	$48.56	$63.36
United Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $40.72	Professional		$31.09	$31.09	$40.72