Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $68.40 / $283.87	Facility		$28.78	$68.40	$283.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $117.08 / $358.18	Professional		$18.32	$117.08	$358.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.05 / $1.05	Professional		$1.05	$1.05	$1.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.89 / $148.50 / $50,749.49	Facility		$103.89	$148.50	$50,749.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $117.74 / $117.74	Professional		$117.74	$117.74	$117.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $34.19 / $74.48	Facility		$14.94	$34.19	$74.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $12.62 / $22.99	Professional		$10.26	$12.62	$22.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $34.19 / $97.39	Facility		$14.94	$34.19	$97.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $22.99 / $108.92	Professional		$10.26	$22.99	$108.92
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00