Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $64.57	Facility		$38.02	$38.02	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $72.44	Professional		$30.90	$41.69	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $74.13	Professional		$25.12	$32.36	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $70.79 / $79.43	Facility		$61.66	$70.79	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $83.18	Professional		$79.43	$79.43	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $33.11	Professional		$16.98	$19.95	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $144.54	Professional		$61.66	$74.13	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.84 / $37.15	Professional		$17.38	$28.84	$37.15