Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $60.96 / $70.98	Professional		$30.52	$60.96	$70.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $37.67 / $94.74	Professional		$32.02	$37.67	$94.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.73 / $105.28 / $131.60	Facility		$87.73	$105.28	$131.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $114.05 / $210.55	Professional		$90.22	$114.05	$210.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $32.08 / $32.08	Professional		$32.08	$32.08	$32.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $32.08 / $32.08	Professional		$32.08	$32.08	$32.08
United Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $39.54 / $53.46	Professional		$22.23	$39.54	$53.46