Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $32.36 / $100.00	Facility	26	$27.54	$32.36	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $190.55	Professional		$67.61	$100.00	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $134.90	Professional		$57.54	$75.86	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $89.13 / $125.89	Professional		$31.62	$89.13	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $177.83	Professional		$77.62	$109.65	$177.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $186.21	Professional		$74.13	$112.20	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $37.15	Professional		$24.55	$33.11	$37.15
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $223.87	Professional		$93.33	$112.20	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $125.89	Professional		$60.26	$89.13	$125.89