Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $138.80 / $199.38	Facility		$48.00	$138.80	$199.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $52.00 / $167.84	Professional		$38.00	$52.00	$167.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $42.00 / $79.81	Professional		$34.00	$42.00	$79.81
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $81.90	Professional		$81.90	$81.90	$81.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $50,749.49 / $61,249.39	Facility		$33.75	$50,749.49	$61,249.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $63.65 / $84.00	Professional		$42.00	$63.65	$84.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $96.48 / $96.48	Facility		$96.48	$96.48	$96.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $60.00 / $83.02	Professional		$35.00	$60.00	$83.02