Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $174.53 / $282.32	Facility		$73.33	$174.53	$282.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $73.33 / $79.22	Professional		$73.33	$73.33	$79.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.94 / $98.99 / $162.21	Facility		$80.94	$98.99	$162.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $800.00 / $1,452.80	Professional		$118.97	$800.00	$1,452.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $268.11 / $2,631.47	Facility		$91.66	$268.11	$2,631.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.69 / $219.98 / $2,153.03	Professional		$95.69	$219.98	$2,153.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.32 / $104.27 / $523.11	Facility		$94.32	$104.27	$523.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $133.41 / $516.16	Professional		$59.58	$133.41	$516.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $94.32 / $104.27 / $523.11	Facility		$94.32	$104.27	$523.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $59.58 / $59.58	Professional		$59.58	$59.58	$59.58
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $55.00 / $121.32	Professional		$38.50	$55.00	$121.32