Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $195.22 / $379.80	Facility		$95.80	$195.22	$379.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $99.39 / $205.37	Professional		$71.84	$99.39	$205.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.59 / $103.46 / $169.54	Facility		$84.59	$103.46	$169.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $52.69 / $107.93	Professional		$47.90	$52.69	$107.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $110.17 / $143.69	Facility		$95.80	$110.17	$143.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $124.54 / $209.33	Professional		$95.80	$124.54	$209.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.57 / $108.97 / $546.73	Facility		$98.57	$108.97	$546.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $94.15 / $159.71	Professional		$43.75	$94.15	$159.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $81.79 / $153.52 / $332.10	Facility		$81.79	$153.52	$332.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $92.86 / $169.12	Professional		$43.75	$92.86	$169.12
United Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $57.48 / $127.50	Professional		$40.24	$57.48	$127.50