Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $55.13 / $64.19	Professional		$29.68	$55.13	$64.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $34.07 / $85.68	Professional		$28.96	$34.07	$85.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $95.21 / $119.01	Facility		$79.34	$95.21	$119.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.27 / $103.14 / $190.42	Professional		$87.27	$103.14	$190.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $28.56 / $28.56	Professional		$28.56	$28.56	$28.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $28.56 / $28.56	Professional		$28.56	$28.56	$28.56
United Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $35.78 / $47.71	Professional		$19.79	$35.78	$47.71