Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.12 / $159.88 / $262.80	Facility		$59.12	$159.88	$262.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $78.92 / $142.91	Professional		$61.69	$78.92	$142.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.23 / $137.83 / $226.50	Facility		$85.23	$137.83	$226.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $133.05	Professional		$78.92	$78.92	$133.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $78.92 / $134.16	Facility		$78.92	$78.92	$134.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $106.54	Professional		$78.92	$78.92	$106.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $74.45 / $78.92	Facility		$74.45	$74.45	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $163.16	Professional		$78.92	$78.92	$163.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $74.45 / $78.92	Facility		$55.91	$74.45	$78.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $163.16	Professional		$78.92	$78.92	$163.16
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $87.85 / $109.76	Professional		$78.92	$87.85	$109.76