Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $72.28 / $97.50	Facility		$36.04	$72.28	$97.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $37.04 / $87.15	Professional		$31.67	$37.04	$87.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.04 / $85.85 / $238.49	Facility		$55.04	$85.85	$238.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $61.85	Professional		$36.69	$36.69	$61.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.69 / $62.37	Facility		$36.69	$36.69	$62.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $49.53	Professional		$36.69	$36.69	$49.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $34.61 / $36.69	Facility		$34.61	$34.61	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $125.38	Professional		$36.69	$36.69	$125.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $125.38	Professional		$36.69	$36.69	$125.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $39.18 / $51.36	Professional		$31.98	$39.18	$51.36
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $47.77	Professional		$36.69	$36.69	$47.77