Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.44 / $135.44 / $135.44	Facility		$135.44	$135.44	$135.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $20.36 / $36.06	Professional		$20.36	$20.36	$36.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $27.26 / $54.96	Professional		$19.98	$27.26	$54.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $50.57 / $68.15	Facility		$37.36	$50.57	$68.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.16 / $59.36 / $105.53	Professional		$57.16	$59.36	$105.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $92.60 / $92.60	Facility		$92.60	$92.60	$92.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Professional		$23.12	$23.12	$23.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $92.60 / $92.60	Facility		$92.60	$92.60	$92.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Professional		$23.12	$23.12	$23.12
United Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $26.38 / $74.75	Professional		$17.03	$26.38	$74.75