Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $31.65 / $55.67	Facility		$18.62	$31.65	$55.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $31.65	Professional		$18.62	$18.62	$31.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $26.52 / $44.20	Facility		$0.03	$26.52	$44.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.69 / $27.75	Professional		$17.00	$17.69	$27.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $10.90 / $11.45	Facility		$10.90	$10.90	$11.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $17.52 / $17.52	Facility		$17.52	$17.52	$17.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $17.52 / $24.91	Professional		$17.52	$17.52	$24.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $17.52 / $24.91	Professional		$17.52	$17.52	$24.91
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $18.62 / $22.89	Professional		$17.69	$18.62	$22.89