Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $45.71	Facility		$26.92	$26.92	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $47.86	Professional		$21.88	$28.84	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $51.29	Professional		$18.20	$23.44	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $50.12 / $57.54	Facility		$43.65	$50.12	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $58.88	Professional		$57.54	$57.54	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $32.36	Professional		$12.30	$14.45	$32.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $104.71	Professional		$44.67	$52.48	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.42 / $26.92	Professional		$12.30	$20.42	$26.92