Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $77.62 / $97.72	Professional		$38.02	$77.62	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $131.83	Professional		$45.71	$60.26	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $120.23	Facility		$83.18	$83.18	$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 $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $109.65	Professional		$53.70	$83.18	$109.65
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $181.97	Professional		$91.20	$109.65	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $47.86 / $63.10	Professional		$30.90	$47.86	$63.10