Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $33.11 / $60.26	Facility		$21.38	$33.11	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $39.81	Professional		$19.05	$28.18	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $24.55 / $42.66	Professional		$14.45	$24.55	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $22.91	Facility		$16.22	$16.22	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $51.29	Professional		$19.95	$30.20	$51.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $52.48	Professional		$19.95	$30.20	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.84 / $52.48	Professional		$16.98	$28.84	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.84 / $45.71	Professional		$19.50	$28.84	$45.71