Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $40.74	Professional		$21.88	$33.88	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $64.57	Professional		$31.62	$38.90	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $34.67	Facility		$33.88	$33.88	$34.67
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 Facility Modifier Low / Median / High Price $33.88 / $33.88 / $34.67	Facility		$33.88	$33.88	$34.67
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 $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $60.26	Professional		$27.54	$36.31	$60.26