Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $28.19 / $12,051.00	Facility		$13.29	$28.19	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $13.56 / $9,841.62	Professional		$12.99	$13.56	$9,841.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $20.91 / $32.47	Facility		$14.03	$20.91	$32.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $21.90	Professional		$12.99	$12.99	$21.90
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $17.41 / $17.41	Facility		$17.41	$17.41	$17.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $12.99 / $22.08	Facility		$12.99	$12.99	$22.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $17.54	Professional		$12.99	$12.99	$17.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $12.26 / $12.99	Facility		$12.26	$12.26	$12.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $23.12	Professional		$12.99	$12.99	$23.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $23.12	Professional		$12.99	$12.99	$23.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $16.61 / $18.83	Professional		$14.28	$16.61	$18.83
United Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $17.02	Professional		$12.99	$12.99	$17.02