Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $44.67 / $54.95	Professional		$23.99	$44.67	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $72.44	Professional		$24.55	$32.36	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $74.13	Facility		$47.86	$47.86	$74.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $77.62	Professional		$74.13	$74.13	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $63.10	Professional		$30.20	$47.86	$63.10
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $97.72	Professional		$48.98	$58.88	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.92 / $34.67	Professional		$17.78	$26.92	$34.67