Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.30 / $108.78 / $125.10	Professional		$88.30	$108.78	$125.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $100.00 / $194.16	Professional		$85.00	$100.00	$194.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.87 / $171.44 / $214.31	Facility		$142.87	$171.44	$214.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.16 / $185.73 / $342.89	Professional		$157.16	$185.73	$342.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Professional		$58.29	$58.29	$58.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Professional		$58.29	$58.29	$58.29
United Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $67.09 / $90.69	Professional		$40.39	$67.09	$90.69