Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.42 / $35.42 / $122.00	Facility		$35.42	$35.42	$122.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $35.42 / $37.65	Professional		$27.70	$35.42	$37.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.92 / $72.53 / $187.93	Facility		$61.92	$72.53	$187.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $32.17 / $85.72	Professional		$28.96	$32.17	$85.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.86 / $65.94 / $89.02	Facility		$42.86	$65.94	$89.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $59.35 / $141.19	Professional		$42.86	$59.35	$141.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $64.69	Facility		$30.91	$30.91	$64.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $22.56 / $39.49	Professional		$22.56	$22.56	$39.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $30.91	Facility		$30.91	$30.91	$30.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $30.91 / $30.91	Professional		$22.56	$30.91	$30.91
United Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $29.74 / $41.86	Professional		$18.57	$29.74	$41.86