Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $81.28	Professional		$32.36	$64.57	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $112.20	Professional		$38.02	$50.12	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $120.23	Facility		$67.61	$67.61	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $125.89	Professional		$120.23	$120.23	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $93.33	Professional		$44.67	$70.79	$93.33
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $151.36	Professional		$77.62	$91.20	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $52.48	Professional		$25.12	$37.15	$52.48