Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $61.37 / $74.91	Professional		$37.92	$61.37	$74.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $39.06 / $102.78	Professional		$33.40	$39.06	$102.78
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $82.69 / $82.69 / $82.69	Professional		$82.69	$82.69	$82.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.69 / $99.23 / $124.04	Facility		$82.69	$99.23	$124.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.96 / $107.50 / $198.46	Professional		$90.96	$107.50	$198.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $39.26 / $48.98	Professional		$25.64	$39.26	$48.98