Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.05 / $97.70 / $154.57	Facility		$41.05	$97.70	$154.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $41.05 / $110.47	Professional		$28.75	$41.05	$110.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.31 / $55.41 / $90.80	Facility		$45.31	$55.41	$90.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $30.66 / $73.89	Professional		$25.34	$30.66	$73.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $64.14 / $76.97	Facility		$51.31	$64.14	$76.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $69.27 / $123.14	Professional		$66.70	$69.27	$123.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.79 / $58.36 / $292.81	Facility		$52.79	$58.36	$292.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $45.05 / $103.26	Professional		$26.09	$45.05	$103.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $45.79 / $58.36 / $292.81	Facility		$45.79	$58.36	$292.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $46.16 / $121.34	Professional		$26.09	$46.16	$121.34
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $74.76	Professional		$21.55	$30.79	$74.76