Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $202.04 / $623.57	Facility		$35.52	$202.04	$623.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $26.20 / $51.05	Professional		$26.07	$26.20	$51.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $15.84 / $28.76	Professional		$15.84	$15.84	$28.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $26.38 / $12,678.30	Facility		$20.29	$26.38	$12,678.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $20.29 / $20.29	Professional		$20.29	$20.29	$20.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $33.67 / $149.79	Facility		$1.23	$33.67	$149.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $19.13 / $39.75	Professional		$10.53	$19.13	$39.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.36 / $38.84 / $228.78	Facility		$1.36	$38.84	$228.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $18.19 / $25.74	Professional		$11.67	$18.19	$25.74
United Facility/Professional Facility Modifier Low / Median / High Price $178.99 / $178.99 / $178.99	Facility		$178.99	$178.99	$178.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $16.37 / $42.90	Professional		$8.85	$16.37	$42.90