Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $32.64 / $57.41	Facility		$19.20	$32.64	$57.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $19.20 / $32.64	Professional		$19.19	$19.20	$32.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $27.36 / $45.60	Facility		$0.03	$27.36	$45.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $18.23 / $26.97	Professional		$17.00	$18.23	$26.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $10.31 / $17.01	Facility		$10.31	$10.31	$17.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $10.31 / $10.31	Professional		$10.31	$10.31	$10.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Facility		$11.89	$11.89	$11.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $25.68	Professional		$11.89	$11.89	$25.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $25.68	Professional		$11.89	$11.89	$25.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $26.21 / $30.40	Professional		$23.06	$26.21	$30.40
United Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $25.74 / $31.64	Professional		$24.45	$25.74	$31.64