Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $64.31 / $74.59	Professional		$40.54	$64.31	$74.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $40.95 / $100.52	Professional		$35.22	$40.95	$100.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $103.99 / $129.99	Facility		$86.66	$103.99	$129.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $112.66 / $207.98	Professional		$95.33	$112.66	$207.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $36.19 / $36.19	Professional		$36.19	$36.19	$36.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $36.19 / $36.19	Professional		$36.19	$36.19	$36.19
United Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $39.09 / $50.15	Professional		$25.07	$39.09	$50.15