Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $83.76 / $257.99	Facility		$17.12	$83.76	$257.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $67.01 / $67.01	Professional		$67.01	$67.01	$67.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.77 / $90.46	Professional		$38.90	$45.77	$90.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $108.89 / $2,232.36	Facility		$71.20	$108.89	$2,232.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $183.17 / $2,318.21	Professional		$87.58	$183.17	$2,318.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $86.23 / $323.89	Facility		$54.44	$86.23	$323.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $96.23 / $120.29	Professional		$19.48	$96.23	$120.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $86.23 / $323.89	Facility		$54.44	$86.23	$323.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $54.44 / $54.44	Professional		$54.44	$54.44	$54.44
United Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $50.26 / $109.73	Professional		$35.18	$50.26	$109.73