Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $66.07 / $75.86	Professional		$37.15	$66.07	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $104.71	Professional		$35.48	$46.77	$104.71
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $109.65	Facility		$69.18	$69.18	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $114.82	Professional		$109.65	$109.65	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $79.43 / $104.71	Professional		$50.12	$79.43	$104.71
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $141.25	Professional		$72.44	$85.11	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $50.12	Professional		$25.70	$38.02	$50.12