Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $97.72	Professional		$44.67	$83.18	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $134.90	Professional		$43.65	$58.88	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $141.25	Facility		$91.20	$91.20	$141.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $147.91	Professional		$141.25	$141.25	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $120.23	Professional		$58.88	$91.20	$120.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $173.78	Professional		$89.13	$104.71	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $61.66	Professional		$33.11	$48.98	$61.66