Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $63.76 / $78.81	Professional		$32.58	$63.76	$78.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $39.47 / $104.43	Professional		$35.00	$39.47	$104.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.90 / $103.08 / $128.85	Facility		$85.90	$103.08	$128.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.49 / $111.67 / $206.16	Professional		$94.49	$111.67	$206.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $37.59 / $37.59	Professional		$37.59	$37.59	$37.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $37.59 / $37.59	Professional		$37.59	$37.59	$37.59
United Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $39.94 / $51.39	Professional		$26.05	$39.94	$51.39