Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $33.88	Professional		$15.85	$19.95	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $52.48	Professional		$21.88	$27.54	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $23.44	Facility		$20.89	$20.89	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $21.38 / $40.74	Professional		$10.23	$21.38	$40.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.42 / $47.86	Professional		$10.23	$20.42	$47.86
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 Professional Modifier Low / Median / High Price $19.05 / $30.20 / $56.23	Professional		$19.05	$30.20	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.91 / $38.90	Professional		$13.80	$22.91	$38.90