Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $54.39 / $74.38	Facility		$23.52	$54.39	$74.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $24.11 / $63.80	Professional		$23.52	$24.11	$63.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $38.86	Professional		$24.50	$24.50	$38.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59,702.01 / $59,702.01 / $59,702.01	Facility		$59,702.01	$59,702.01	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Facility		$24.50	$24.50	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $39.32	Professional		$24.50	$24.50	$39.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $39.32	Professional		$24.50	$24.50	$39.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $29.40 / $31.49	Professional		$29.40	$29.40	$31.49