Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $196.81 / $352.43	Facility		$91.54	$196.81	$352.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $91.54 / $91.54	Professional		$80.09	$91.54	$91.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.04 / $123.58 / $202.51	Facility		$101.04	$123.58	$202.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $215.23 / $390.85	Professional		$129.13	$215.23	$390.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $334.71 / $3,291.95	Facility		$114.43	$334.71	$3,291.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.71 / $274.63 / $2,693.42	Professional		$119.71	$274.63	$2,693.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.74 / $130.16 / $653.05	Facility		$117.74	$130.16	$653.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $149.90 / $644.76	Professional		$66.94	$149.90	$644.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $117.74 / $130.16 / $653.05	Facility		$117.74	$130.16	$653.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $66.94 / $66.94	Professional		$66.94	$66.94	$66.94
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $151.13	Professional		$48.06	$68.66	$151.13