Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $61.66	Professional		$32.36	$56.23	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $89.13	Professional		$30.90	$40.74	$89.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $97.72	Professional		$93.33	$93.33	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $81.28	Professional		$38.90	$61.66	$81.28
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $123.03	Professional		$63.10	$74.13	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $42.66	Professional		$21.38	$32.36	$42.66