Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.63 / $51.63 / $138.00	Facility		$51.63	$51.63	$138.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $51.63 / $60.92	Professional		$51.63	$51.63	$60.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.31 / $74.23 / $119.31	Facility		$63.31	$74.23	$119.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $29.86 / $86.96	Professional		$26.94	$29.86	$86.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.53 / $76.53 / $90.44	Facility		$76.53	$76.53	$90.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $73.05 / $73.05	Professional		$73.05	$73.05	$73.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $56.91 / $56.91	Professional		$56.91	$56.91	$56.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.77 / $56.91 / $56.91	Professional		$49.77	$56.91	$56.91
United Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $47.07 / $86.49	Professional		$23.14	$47.07	$86.49