Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $146.87 / $208.00	Facility		$54.14	$146.87	$208.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $54.14 / $150.51	Professional		$54.14	$54.14	$150.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.60 / $131.97 / $366.60	Facility		$84.60	$131.97	$366.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $119.00	Professional		$56.40	$56.40	$119.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.42 / $81.42 / $138.41	Facility		$81.42	$81.42	$138.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $60.31 / $81.42	Professional		$60.31	$60.31	$81.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $90.52	Professional		$57.53	$57.53	$90.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $90.52	Professional		$57.53	$57.53	$90.52
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $73.43	Professional		$56.40	$56.40	$73.43