Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $80.67 / $99.59	Professional		$52.21	$80.67	$99.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $50.08 / $137.61	Professional		$43.42	$50.08	$137.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.22 / $159.03	Facility		$106.02	$127.22	$159.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.62 / $137.83 / $254.45	Professional		$116.62	$137.83	$254.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
United Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $52.42 / $63.76	Professional		$35.26	$52.42	$63.76