Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.23 / $88.23 / $351.00	Facility		$88.23	$88.23	$351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $88.23 / $100.34	Professional		$58.45	$88.23	$100.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.29 / $98.08 / $165.76	Professional		$85.29	$98.08	$165.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.87 / $1,378.07 / $3,039.87	Facility		$91.87	$1,378.07	$3,039.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $1,550.33 / $2,735.88	Professional		$103.36	$1,550.33	$2,735.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.76 / $104.76 / $104.76	Facility		$104.76	$104.76	$104.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $438.09 / $438.09	Professional		$147.75	$438.09	$438.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $104.76 / $104.76 / $104.76	Facility		$104.76	$104.76	$104.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $172.00 / $438.09	Professional		$147.75	$172.00	$438.09
United Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $97.47 / $173.05	Professional		$75.00	$97.47	$173.05