Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $734.27 / $1,666.24	Facility		$25.85	$734.27	$1,666.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $367.87 / $513.94	Professional		$85.76	$367.87	$513.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $373.28	Professional		$50.00	$50.00	$373.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $405.74 / $703.29 / $12,659.17	Facility		$405.74	$703.29	$12,659.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $565.37 / $1,182.48 / $14,965.77	Professional		$565.37	$1,182.48	$14,965.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.64 / $557.00 / $2,091.73	Facility		$351.64	$557.00	$2,091.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.64 / $621.57 / $776.96	Professional		$351.64	$621.57	$776.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $351.64 / $557.00 / $2,091.73	Facility		$351.64	$557.00	$2,091.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $351.64 / $351.64 / $351.64	Professional		$351.64	$351.64	$351.64
United Facility/Professional Professional Modifier Low / Median / High Price $227.22 / $324.58 / $649.19	Professional		$227.22	$324.58	$649.19