Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $75.22 / $200.81	Facility		$67.16	$75.22	$200.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $67.16 / $115.58	Professional		$67.15	$67.16	$115.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.14 / $154.65 / $429.59	Facility		$99.14	$154.65	$429.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $67.41 / $113.65	Professional		$67.41	$67.41	$113.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $15.32 / $23.13	Facility		$15.32	$15.32	$23.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $15.32 / $16.85	Professional		$14.18	$15.32	$16.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Facility		$74.02	$74.02	$74.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $74.02 / $116.46	Professional		$74.02	$74.02	$116.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $74.02 / $116.46	Professional		$74.02	$74.02	$116.46
United Facility/Professional Professional Modifier Low / Median / High Price $62.79 / $74.68 / $79.97	Professional		$62.79	$74.68	$79.97