Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $43.65	Professional		$21.88	$30.90	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $44.67	Professional		$18.20	$25.12	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $501.19 / $41,686.94	Facility		$33.11	$501.19	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $562.34 / $1,000.00	Professional		$43.65	$562.34	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
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 $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.91 / $41.69	Professional		$16.22	$22.91	$41.69