Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.91 / $24.91 / $41.00	Facility		$24.91	$24.91	$41.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $24.91 / $24.91	Professional		$19.57	$24.91	$24.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $37.95 / $102.46	Professional		$35.14	$37.95	$102.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $52,499.48 / $61,249.39	Facility		$20.25	$52,499.48	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $37.36 / $51.75	Professional		$37.36	$37.36	$51.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $23.72 / $64.00	Facility		$23.72	$23.72	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $23.72	Professional		$17.32	$17.32	$23.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $23.72 / $23.72	Facility		$23.72	$23.72	$23.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $23.72 / $23.72	Professional		$17.32	$23.72	$23.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $50.90 / $50.90	Professional		$50.90	$50.90	$50.90