Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $70.79	Professional		$28.18	$56.23	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $104.71	Professional		$36.31	$41.69	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $81.28	Facility		$56.23	$56.23	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $85.11	Professional		$81.28	$81.28	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $83.18	Professional		$39.81	$63.10	$83.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $144.54	Professional		$72.44	$87.10	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $50.12	Professional		$20.89	$34.67	$50.12