Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $28.18	Professional		$10.00	$12.88	$28.18
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $31.62 / $31.62 / $46.77	Professional	CO	$31.62	$31.62	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.80 / $24.55	Professional		$10.23	$13.80	$24.55
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.60 / $33.88	Professional		$14.79	$16.60	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $20.42 / $33.88	Professional		$12.59	$20.42	$33.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.05 / $34.67	Professional		$11.22	$19.05	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $32.36 / $33.11	Professional		$10.72	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.20 / $30.90	Professional		$15.49	$18.20	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $21.88	Professional		$12.59	$15.85	$21.88