Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $257.04 / $380.19	Facility		$47.86	$257.04	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $407.38	Professional		$30.20	$50.12	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $323.59	Professional		$199.53	$263.03	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $51.29 / $141.25	Facility		$31.62	$51.29	$141.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $158.49	Professional		$41.69	$53.70	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $275.42	Professional		$125.89	$190.55	$275.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $257.04	Professional		$128.82	$186.21	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $52.48	Professional		$28.18	$28.18	$52.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $154.88 / $323.59	Professional		$66.07	$154.88	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $75.86	Professional		$39.81	$54.95	$75.86