Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $70.79 / $83.18	Professional		$36.31	$70.79	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $117.49	Professional		$38.02	$50.12	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $120.23	Facility		$79.43	$79.43	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $123.03	Professional		$120.23	$120.23	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $120.23	Professional		$57.54	$91.20	$120.23
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 $29.51 / $42.66 / $53.70	Professional		$29.51	$42.66	$53.70