Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $55.65 / $91.17	Facility		$23.68	$55.65	$91.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $23.68 / $24.27	Professional		$23.02	$23.68	$24.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $31.97 / $52.38	Facility		$26.14	$31.97	$52.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $16.23 / $40.82	Professional		$14.00	$16.23	$40.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $86.58 / $855.48	Facility		$29.60	$86.58	$855.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $71.04 / $699.95	Professional		$31.11	$71.04	$699.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.46 / $33.67 / $168.93	Facility		$30.46	$33.67	$168.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $43.09 / $153.25	Professional		$19.23	$43.09	$153.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.46 / $33.67 / $168.93	Facility		$30.46	$33.67	$168.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $19.23 / $19.23	Professional		$19.23	$19.23	$19.23
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $38.78	Professional		$12.43	$17.76	$38.78