Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $43.65 / $53.70	Professional		$23.99	$43.65	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $74.13	Professional		$25.70	$33.88	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $69.18	Facility		$47.86	$47.86	$69.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $72.44	Professional		$69.18	$69.18	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $61.66	Professional		$30.20	$46.77	$61.66
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $102.33	Professional		$51.29	$61.66	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.92 / $37.15	Professional		$17.78	$26.92	$37.15