Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $75.86 / $93.33	Professional		$37.15	$75.86	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $128.82	Professional		$44.67	$57.54	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $117.49	Facility		$81.28	$81.28	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $123.03	Professional		$117.49	$117.49	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $128.82	Professional		$61.66	$97.72	$128.82
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $177.83	Professional		$89.13	$107.15	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $60.26	Professional		$30.20	$45.71	$60.26