Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $54.95 / $95.50	Professional		$28.18	$54.95	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $120.23	Professional		$32.36	$57.54	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $60.26	Facility		$27.54	$27.54	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $64.57 / $123.03	Professional		$27.54	$64.57	$123.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $66.07 / $128.82	Professional		$29.51	$66.07	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $63.10	Professional		$23.99	$32.36	$63.10
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $87.10 / $131.83	Professional		$29.51	$87.10	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $48.98 / $95.50	Professional		$26.92	$48.98	$95.50