Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $32.36 / $53.01	Facility		$13.77	$32.36	$53.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $13.77 / $13.77	Professional		$12.05	$13.77	$13.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $8.50 / $22.37	Professional		$7.33	$8.50	$22.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $50.34 / $492.92	Facility		$17.21	$50.34	$492.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $41.30 / $403.29	Professional		$17.92	$41.30	$403.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $17.72 / $98.25	Facility		$15.36	$17.72	$98.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $50.12 / $97.40	Professional		$13.77	$50.12	$97.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $17.72 / $99.69	Facility		$15.36	$17.72	$99.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $13.77 / $13.77	Professional		$13.77	$13.77	$13.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $10.33 / $22.73	Professional		$7.23	$10.33	$22.73