Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $39.81	Professional		$22.91	$34.67	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $40.74	Professional		$18.20	$25.12	$40.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $645.65 / $41,686.94	Facility		$42.66	$645.65	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $724.44 / $1,288.25	Professional		$56.23	$724.44	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
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 $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $63.10	Professional		$28.84	$37.15	$63.10