Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $45.71	Professional		$30.90	$38.02	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $44.67	Professional		$18.20	$25.70	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $537.03 / $41,686.94	Facility		$36.31	$537.03	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $602.56 / $1,071.52	Professional		$47.86	$602.56	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
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 $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $64.57	Professional		$29.51	$38.90	$64.57