Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $21.56 / $37.90	Facility		$12.68	$21.56	$37.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $12.68 / $21.56	Professional		$12.67	$12.68	$21.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $18.07 / $30.13	Facility		$0.03	$18.07	$30.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $18.00 / $28.55	Professional		$17.59	$18.00	$28.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.13 / $9.13 / $9.59	Facility		$9.13	$9.13	$9.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Facility		$11.97	$11.97	$11.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $16.96	Professional		$11.97	$11.97	$16.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $16.96	Professional		$11.97	$11.97	$16.96
United Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $51.46 / $63.25	Professional		$48.89	$51.46	$63.25