Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $38.24 / $55.00	Facility		$17.62	$38.24	$55.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $17.79 / $48.48	Professional		$17.61	$17.79	$48.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $30.77 / $50.57	Facility		$19.03	$30.77	$50.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $30.51	Professional		$17.62	$17.62	$30.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $17.62 / $29.95	Facility		$17.62	$17.62	$29.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $23.79	Professional		$17.62	$17.62	$23.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $16.62 / $17.62	Facility		$16.62	$16.62	$17.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $47.94	Professional		$17.62	$17.62	$47.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $49.86	Professional		$17.62	$17.62	$49.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $22.02 / $25.37	Professional		$19.25	$22.02	$25.37
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.62 / $19.05	Professional		$17.50	$17.62	$19.05