Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $43.31 / $77.00	Facility		$20.00	$43.31	$77.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $20.00 / $23.60	Professional		$17.50	$20.00	$23.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $74.31 / $134.94	Professional		$28.92	$74.31	$134.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $73.13 / $716.03	Facility		$25.00	$73.13	$716.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $60.00 / $585.83	Professional		$26.04	$60.00	$585.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $28.44 / $142.68	Facility		$25.72	$28.44	$142.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $32.75 / $140.27	Professional		$14.63	$32.75	$140.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $28.44 / $142.68	Facility		$25.72	$28.44	$142.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $14.63 / $14.63	Professional		$14.63	$14.63	$14.63
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $15.00 / $33.02	Professional		$10.50	$15.00	$33.02