Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $380.19 / $602.56	Professional		$41.69	$380.19	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.48 / $28.84	Professional		$8.32	$11.48	$28.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,202.26 / $41,686.94	Facility		$79.43	$1,202.26	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $1,348.96 / $2,398.83	Professional		$104.71	$1,348.96	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $79.43	Professional		$36.31	$46.77	$79.43