Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $42.75 / $48.40	Professional		$24.95	$42.75	$48.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $27.19 / $65.64	Professional		$22.69	$27.19	$65.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.60 / $69.12 / $86.40	Facility		$57.60	$69.12	$86.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $74.88 / $138.24	Professional		$63.36	$74.88	$138.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $23.63	Professional		$23.63	$23.63	$23.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $23.63	Professional		$23.63	$23.63	$23.63
United Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $26.77 / $35.47	Professional		$16.37	$26.77	$35.47