Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $44.67	Professional		$26.92	$38.90	$44.67
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 $44.67 / $660.69 / $41,686.94	Facility		$44.67	$660.69	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $741.31 / $1,318.26	Professional		$58.88	$741.31	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
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 $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $77.62	Professional		$33.11	$43.65	$77.62