Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.69 / $52.48	Professional		$21.88	$41.69	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $70.79	Professional		$22.91	$30.90	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $67.61	Facility		$46.77	$46.77	$67.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $70.79	Professional		$67.61	$67.61	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $61.66	Professional		$29.51	$46.77	$61.66
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $91.20	Professional		$46.77	$56.23	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.30 / $32.36	Professional		$17.38	$26.30	$32.36