Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $52.48 / $151.36	Facility		$28.18	$52.48	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $41.69 / $58.88	Professional		$26.92	$41.69	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $53.70 / $93.33	Professional		$28.84	$53.70	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $53.70 / $83.18	Professional		$30.90	$53.70	$83.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $85.11	Professional		$30.90	$58.88	$85.11
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 $25.70 / $31.62 / $60.26	Professional		$25.70	$31.62	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,715.35	Facility		$457.09	$954.99	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $81.28	Professional		$34.67	$54.95	$81.28