Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.99 / $26.92	Professional		$15.14	$23.99	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $44.67	Professional		$18.20	$24.55	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $416.87 / $41,686.94	Facility		$28.18	$416.87	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $467.74 / $831.76	Professional		$37.15	$467.74	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
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 $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $51.29	Professional		$21.88	$28.84	$51.29