Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.28 / $3,199.20 / $12,382.60	Facility		$44.28	$3,199.20	$12,382.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $31.40 / $4,800.00	Professional		$27.45	$31.40	$4,800.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $32.18 / $49.98	Facility		$21.59	$32.18	$49.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $39.89	Professional		$19.98	$19.98	$39.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $19.98 / $30.18	Facility		$19.68	$19.98	$30.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $19.98 / $26.99	Professional		$19.68	$19.98	$26.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $19.98	Facility		$17.64	$17.64	$19.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $151.86	Professional		$19.98	$19.98	$151.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.59 / $60.08 / $199.06	Facility		$33.59	$60.08	$199.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $157.94	Professional		$19.98	$19.98	$157.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $23.06 / $28.53	Professional		$19.88	$23.06	$28.53
United Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $40.09 / $43.36	Professional		$40.09	$40.09	$43.36