Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.15 / $84.17 / $224.70	Facility		$75.15	$84.17	$224.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $127.76	Professional		$75.15	$75.15	$127.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.15 / $131.22 / $223.95	Facility		$81.15	$131.22	$223.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $73.68 / $125.40	Professional		$70.19	$73.68	$125.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.15 / $75.15 / $127.76	Facility		$75.15	$75.15	$127.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $101.45	Professional		$75.15	$75.15	$101.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $117.77	Professional		$80.88	$80.88	$117.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $117.77	Professional		$80.88	$80.88	$117.77
United Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $81.59 / $94.60	Professional		$68.59	$81.59	$94.60