Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $85.11 / $125.89	Facility		$39.81	$85.11	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.74 / $51.29	Professional		$38.90	$40.74	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.07	Facility		$0.02	$0.02	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $74.13	Professional		$42.66	$48.98	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $45.71	Professional		$42.66	$42.66	$45.71