Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.96 / $61.96 / $184.00	Facility		$61.96	$61.96	$184.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $61.96 / $73.09	Professional		$61.96	$61.96	$73.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $89.08 / $143.19	Facility		$75.98	$89.08	$143.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $35.85 / $104.36	Professional		$32.35	$35.85	$104.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.84 / $91.84 / $108.54	Facility		$91.84	$91.84	$108.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.66 / $87.66 / $87.66	Professional		$87.66	$87.66	$87.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $59.75	Professional		$0.09	$0.09	$59.75
United Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $62.68 / $103.50	Professional		$27.76	$62.68	$103.50