Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $47.86 / $58.88	Facility		$34.67	$47.86	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $50.12	Professional		$23.99	$34.67	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $72.44	Professional		$23.99	$29.51	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $42.66 / $67.61	Facility		$28.18	$42.66	$67.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $75.86	Professional		$37.15	$51.29	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $117.49	Professional		$57.54	$64.57	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $26.92 / $39.81	Facility		$19.95	$26.92	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.92 / $38.90	Professional		$17.38	$26.92	$38.90