Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $79.73 / $79.73	Facility		$79.73	$79.73	$79.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $79.73 / $95.26	Professional		$54.46	$79.73	$95.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $16.50 / $32.50	Professional		$11.68	$16.50	$32.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.08 / $1,186.21 / $2,616.65	Facility		$79.08	$1,186.21	$2,616.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $1,334.49 / $2,354.96	Professional		$88.97	$1,334.49	$2,354.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $94.70 / $94.70	Facility		$94.70	$94.70	$94.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $133.55 / $396.01	Professional		$133.55	$133.55	$396.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $94.70 / $94.70	Facility		$94.70	$94.70	$94.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $133.55 / $396.01	Professional		$133.55	$133.55	$396.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,098.00 / $6,792.00	Facility		$1,050.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $95.95 / $167.72	Professional		$68.92	$95.95	$167.72