Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $155.11 / $352.43	Facility		$91.54	$155.11	$352.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.04 / $125.87 / $202.51	Facility		$101.04	$125.87	$202.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $67.95 / $125.03	Professional		$31.98	$67.95	$125.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.82 / $148.76 / $2,677.67	Facility		$85.82	$148.76	$2,677.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.71 / $250.37 / $3,168.72	Professional		$119.71	$250.37	$3,168.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.37 / $88.31 / $325.24	Facility		$56.37	$88.31	$325.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $131.75 / $164.68	Professional		$55.75	$131.75	$164.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $55.75 / $88.31 / $331.98	Facility		$55.75	$88.31	$331.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $55.75 / $55.75	Professional		$55.75	$55.75	$55.75
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $51.49 / $137.32	Professional		$36.02	$51.49	$137.32