Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $73.73 / $92.00	Facility		$27.18	$73.73	$92.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $27.18 / $75.56	Professional		$27.18	$27.18	$75.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $53.23 / $86.16	Facility		$30.23	$53.23	$86.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $30.02 / $50.61	Professional		$30.02	$30.02	$50.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.53 / $40.53 / $68.90	Facility		$40.53	$40.53	$68.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $30.02 / $40.53	Professional		$30.02	$30.02	$40.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Facility		$28.88	$28.88	$28.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $45.44	Professional		$28.88	$28.88	$45.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $45.44	Professional		$28.88	$28.88	$45.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $37.52 / $43.52	Professional		$33.02	$37.52	$43.52
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $37.10	Professional		$28.32	$28.32	$37.10