Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $63.70 / $76.89	Professional		$39.69	$63.70	$76.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $39.95 / $107.53	Professional		$35.22	$39.95	$107.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.65 / $100.38 / $125.48	Facility		$83.65	$100.38	$125.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $108.75 / $200.76	Professional		$92.02	$108.75	$200.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $38.71 / $38.71	Professional		$38.71	$38.71	$38.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $38.71 / $38.71	Professional		$38.71	$38.71	$38.71
United Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $40.24 / $53.10	Professional		$26.82	$40.24	$53.10