Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $20.59 / $20.59	Facility		$20.59	$20.59	$20.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $20.59 / $27.05	Professional		$20.13	$20.59	$27.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $48.19 / $77.09	Facility		$34.96	$48.19	$77.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.47 / $27.63 / $50.11	Professional		$27.47	$27.63	$50.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $27.62 / $39.45	Facility		$3.47	$27.62	$39.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $25.45 / $48.38	Professional		$3.27	$25.45	$48.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.47 / $37.47 / $44.92	Facility		$37.47	$37.47	$44.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $31.34 / $44.63	Professional		$15.97	$31.34	$44.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $30.30 / $33.08	Professional		$15.97	$30.30	$33.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $32.47 / $46.82	Professional		$25.97	$32.47	$46.82
United Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $19.01 / $27.63	Professional		$12.68	$19.01	$27.63