Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $72.44	Professional		$33.88	$52.48	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $72.44 / $151.36	Professional		$40.74	$72.44	$151.36
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $109.65 / $223.87	Professional	50	$60.26	$109.65	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $40.74	Facility		$34.67	$34.67	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $109.65	Professional		$28.18	$50.12	$109.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $112.20	Professional		$28.18	$47.86	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $33.11	Professional		$25.70	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $91.20	Professional		$32.36	$38.02	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $37.15 / $44.67	Facility		$7.08	$37.15	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $89.13	Professional		$40.74	$53.70	$89.13