Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.53 / $60.53 / $333.00	Facility		$60.53	$60.53	$333.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $69.30 / $100.47	Professional		$60.53	$69.30	$100.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.44 / $124.69 / $323.05	Facility		$106.44	$124.69	$323.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $200.00 / $317.60	Professional		$39.00	$200.00	$317.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.08 / $124.69 / $59,499.41	Facility		$94.08	$124.69	$59,499.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $113.35 / $242.71	Professional		$79.34	$113.35	$242.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $155.57	Facility		$52.17	$52.17	$155.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $38.08 / $66.65	Professional		$38.08	$38.08	$66.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $52.17 / $52.17	Professional		$38.08	$52.17	$52.17
United Facility/Professional Professional Modifier Low / Median / High Price $70.64 / $105.43 / $149.36	Professional		$70.64	$105.43	$149.36