Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $125.49 / $220.72	Facility		$73.81	$125.49	$220.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $125.49	Professional		$73.81	$73.81	$125.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $128.93 / $211.86	Facility		$79.73	$128.93	$211.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $74.40 / $120.63	Professional		$66.43	$74.40	$120.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $125.49	Facility		$73.81	$73.81	$125.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $99.66	Professional		$73.81	$73.81	$99.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Facility		$72.52	$72.52	$72.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $114.10	Professional		$72.52	$72.52	$114.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $114.10	Professional		$72.52	$72.52	$114.10
United Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $77.70 / $95.50	Professional		$70.13	$77.70	$95.50