Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $27.72 / $31.12	Professional		$15.45	$27.72	$31.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $16.92 / $45.69	Professional		$14.67	$16.92	$45.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $44.83 / $52.30	Facility		$37.36	$44.83	$52.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $48.57 / $89.66	Professional		$41.10	$48.57	$89.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $16.45	Professional		$16.45	$16.45	$16.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $16.45	Professional		$16.45	$16.45	$16.45
United Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $17.23 / $22.72	Professional		$11.40	$17.23	$22.72