Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.37 / $98.37 / $98.37	Facility		$98.37	$98.37	$98.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $25.55 / $25.55	Professional		$14.48	$25.55	$25.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $12.78 / $37.84	Professional		$10.19	$12.78	$37.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $36.72 / $49.51	Facility		$27.15	$36.72	$49.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $43.12 / $76.66	Professional		$41.52	$43.12	$76.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.26 / $67.26 / $67.26	Facility		$67.26	$67.26	$67.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $67.26 / $67.26 / $67.26	Facility		$67.26	$67.26	$67.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $19.16 / $46.54	Professional		$8.86	$19.16	$46.54