Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $199.53 / $758.58	Professional		$16.98	$199.53	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $47.86	Professional		$19.95	$23.99	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $22.91 / $28.18	Facility		$15.85	$22.91	$28.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $47.86	Professional		$19.95	$23.99	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $28.84 / $93.33	Professional		$10.23	$28.84	$93.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $26.30 / $61.66	Professional		$10.23	$26.30	$61.66
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 $21.88 / $28.84 / $66.07	Professional		$21.88	$28.84	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $21.38 / $43.65	Professional		$12.30	$21.38	$43.65