Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $48.98 / $64.57	Professional		$25.70	$48.98	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.02 / $79.43	Professional		$27.54	$38.02	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $100.00	Facility		$52.48	$52.48	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $104.71	Professional		$100.00	$100.00	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $67.61	Professional		$33.11	$51.29	$67.61
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $109.65	Professional		$54.95	$66.07	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $29.51 / $38.90	Professional		$19.50	$29.51	$38.90