Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $158.49	Facility		$95.50	$95.50	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $134.90	Professional		$75.86	$100.00	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $177.83	Professional		$63.10	$81.28	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $173.78 / $199.53	Facility		$151.36	$173.78	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $204.17	Professional		$199.53	$199.53	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $79.43	Professional		$38.02	$50.12	$79.43
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $363.08	Professional		$154.88	$181.97	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $93.33	Professional		$42.66	$70.79	$93.33