Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.57 / $50.57 / $160.00	Facility		$50.57	$50.57	$160.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $50.57 / $65.42	Professional		$45.35	$50.57	$65.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.42 / $103.58 / $268.36	Facility		$88.42	$103.58	$268.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $55.12 / $124.16	Professional		$45.94	$55.12	$124.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.62 / $94.16 / $127.12	Facility		$70.62	$94.16	$127.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $94.16 / $201.62	Professional		$61.20	$94.16	$201.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $117.17	Facility		$58.84	$58.84	$117.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $42.95 / $75.17	Professional		$42.95	$42.95	$75.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $58.84	Facility		$58.84	$58.84	$58.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $58.84 / $58.84	Professional		$42.95	$58.84	$58.84
United Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $46.98 / $71.89	Professional		$31.32	$46.98	$71.89