Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.65 / $173.00 / $347.00	Facility		$64.65	$173.00	$347.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $66.80 / $83.67	Professional		$56.11	$66.80	$83.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $45.65 / $86.32	Professional		$34.00	$45.65	$86.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.41 / $59.26 / $85.33	Facility		$47.41	$59.26	$85.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $82.94 / $82.94	Professional		$82.94	$82.94	$82.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $77.00 / $77.00	Facility		$77.00	$77.00	$77.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $84.98 / $165.49	Professional		$62.56	$84.98	$165.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $77.00 / $77.00	Facility		$77.00	$77.00	$77.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $87.76 / $131.18	Professional		$62.84	$87.76	$131.18
Optum Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $95.00 / $151.91	Professional		$69.00	$95.00	$151.91
United Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $91.66 / $154.19	Professional		$59.22	$91.66	$154.19