Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $67.61 / $1,218.38	Facility		$28.18	$67.61	$1,218.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $24.50 / $37.42	Professional		$19.67	$24.50	$37.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $17.20 / $28.90	Professional		$14.83	$17.20	$28.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $28.28 / $36.96	Facility		$19.04	$28.28	$36.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $24.75 / $28.00	Professional		$24.75	$24.75	$28.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $36.34 / $213.99	Facility		$1.28	$36.34	$213.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $17.00 / $47.72	Professional		$10.69	$17.00	$47.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $36.34 / $213.99	Facility		$2.14	$36.34	$213.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $16.68 / $53.89	Professional		$10.69	$16.68	$53.89
United Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $15.31 / $30.63	Professional		$9.42	$15.31	$30.63