Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $107.15	Professional		$47.86	$56.23	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $109.65	Professional		$33.11	$42.66	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $165.96	Professional		$69.18	$83.18	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $63.10 / $162.18	Professional		$30.90	$63.10	$162.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $151.36	Professional		$30.90	$58.88	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $158.49	Professional		$77.62	$102.33	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $107.15	Professional		$37.15	$63.10	$107.15