Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $45.71 / $67.61	Facility		$23.99	$45.71	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $61.66	Professional		$21.88	$25.70	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $31.62 / $54.95	Facility		$27.54	$31.62	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.78 / $38.90	Professional		$13.80	$17.78	$38.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $34.67	Facility		$23.99	$23.99	$34.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $43.65	Professional		$21.38	$34.67	$43.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.92 / $37.15	Professional		$20.42	$26.92	$37.15
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $31.62 / $69.18	Professional		$19.50	$31.62	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $19.50 / $30.20	Facility		$10.96	$19.50	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $41.69	Professional		$12.59	$18.20	$41.69