Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.88 / $54.88 / $110.00	Facility		$54.88	$54.88	$110.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $54.88 / $77.81	Professional		$51.65	$54.88	$77.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $109.03 / $175.24	Facility		$92.98	$109.03	$175.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $51.40 / $132.83	Professional		$48.77	$51.40	$132.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.64 / $102.18 / $137.94	Facility		$76.64	$102.18	$137.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $92.44 / $218.79	Professional		$66.76	$92.44	$218.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $84.97	Professional		$43.91	$43.91	$84.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $82.96	Professional		$43.91	$43.91	$82.96
United Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $49.39 / $68.76	Professional		$33.99	$49.39	$68.76