Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $34.67	Facility		$20.89	$20.89	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $30.90	Professional		$15.85	$20.89	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.78 / $39.81	Professional		$13.80	$17.78	$39.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $38.90 / $43.65	Facility		$33.88	$38.90	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $45.71	Professional		$43.65	$43.65	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $29.51	Professional		$9.33	$10.96	$29.51
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $79.43	Professional		$34.67	$40.74	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.85 / $20.89	Professional		$9.55	$15.85	$20.89