Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $63.00 / $73.17	Professional		$37.68	$63.00	$73.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $39.90 / $103.33	Professional		$32.75	$39.90	$103.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.50 / $101.40 / $126.75	Facility		$84.50	$101.40	$126.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $109.85 / $202.80	Professional		$92.95	$109.85	$202.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $37.20	Professional		$37.20	$37.20	$37.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $37.20	Professional		$37.20	$37.20	$37.20
United Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $39.68 / $51.74	Professional		$25.78	$39.68	$51.74