Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $60.35 / $108.07	Facility		$28.07	$60.35	$108.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $28.07 / $28.77	Professional		$24.56	$28.07	$28.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $37.90 / $62.10	Facility		$30.98	$37.90	$62.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $21.96 / $45.61	Professional		$16.23	$21.96	$45.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $102.64 / $1,004.43	Facility		$35.09	$102.64	$1,004.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $84.22 / $821.81	Professional		$36.52	$84.22	$821.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $36.13 / $200.27	Facility		$31.32	$36.13	$200.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $51.08 / $196.72	Professional		$28.07	$51.08	$196.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $36.13 / $203.21	Facility		$31.32	$36.13	$203.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $28.07 / $28.07	Professional		$28.07	$28.07	$28.07
United Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $12.63 / $31.58	Facility		$12.63	$12.63	$31.58
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $51.13	Professional		$14.74	$21.05	$51.13