Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $44.67 / $75.86	Facility		$29.51	$44.67	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $37.15	Professional		$21.88	$25.12	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.50 / $33.11	Professional		$4.37	$5.50	$33.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $501.19 / $870.96	Professional		$38.90	$501.19	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $66.07	Facility		$20.42	$20.42	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $36.31 / $45.71	Professional		$20.42	$36.31	$45.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $20.42 / $181.97	Facility		$15.49	$20.42	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.11 / $63.10	Professional		$20.42	$33.11	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $20.42 / $31.62	Facility		$11.48	$20.42	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.05 / $31.62	Professional		$13.18	$19.05	$31.62