Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.30 / $108.78 / $150.00	Professional		$88.30	$108.78	$150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $100.00 / $199.55	Professional		$85.00	$100.00	$199.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.87 / $178.59 / $214.31	Facility		$142.87	$178.59	$214.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.87 / $180.70 / $242.88	Professional		$142.87	$180.70	$242.88
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 / $89.45	Professional		$40.39	$67.09	$89.45