Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $105.71 / $280.32	Facility		$39.29	$105.71	$280.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $33.52 / $52.63	Professional		$28.07	$33.52	$52.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $37.90 / $62.10	Facility		$30.98	$37.90	$62.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $19.25 / $48.40	Professional		$16.39	$19.25	$48.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $40.35 / $52.64	Facility		$35.09	$40.35	$52.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $45.62 / $76.39	Professional		$35.09	$45.62	$76.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $39.92 / $200.27	Facility		$36.11	$39.92	$200.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.45 / $18.45	Professional		$18.45	$18.45	$18.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.05 / $61.85 / $165.64	Facility		$28.05	$61.85	$165.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.45 / $18.45	Professional		$18.45	$18.45	$18.45
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $56.60	Professional		$14.74	$21.05	$56.60