Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.42 / $67.42 / $204.00	Facility		$67.42	$67.42	$204.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.64 / $67.42 / $90.98	Professional		$50.64	$67.42	$90.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $53.44 / $138.07	Professional		$45.61	$53.44	$138.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.66 / $106.21 / $143.38	Facility		$79.66	$106.21	$143.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $96.11 / $227.42	Professional		$69.41	$96.11	$227.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $125.15 / $125.15	Facility		$125.15	$125.15	$125.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $45.55 / $88.31	Professional		$45.55	$45.55	$88.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $125.15 / $125.15	Facility		$125.15	$125.15	$125.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $45.55 / $86.24	Professional		$45.55	$45.55	$86.24
United Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $51.29 / $72.95	Professional		$32.83	$51.29	$72.95