Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $75.86 / $87.10	Professional		$38.90	$75.86	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $120.23	Professional		$38.90	$52.48	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $128.82	Facility		$81.28	$81.28	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $134.90	Professional		$128.82	$128.82	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $112.20	Professional		$54.95	$85.11	$112.20
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $158.49	Professional		$79.43	$95.50	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $57.54	Professional		$30.20	$45.71	$57.54