Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $53.70 / $69.18	Facility		$41.69	$53.70	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $57.54	Professional		$32.36	$43.65	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $91.20	Professional		$42.66	$52.48	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $85.11 / $109.65	Facility		$63.10	$85.11	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $114.82	Professional		$70.79	$109.65	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $50.12	Professional		$30.20	$36.31	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $52.48	Professional		$23.99	$39.81	$52.48