Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $34.57 / $127.00	Facility		$34.57	$34.57	$127.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $34.57 / $39.60	Professional		$30.25	$34.57	$39.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.44 / $70.81 / $183.45	Facility		$60.44	$70.81	$183.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $34.90 / $83.68	Professional		$31.39	$34.90	$83.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.28 / $64.37 / $86.90	Facility		$48.28	$64.37	$86.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $58.25 / $137.83	Professional		$42.07	$58.25	$137.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $75.84	Facility		$38.36	$38.36	$75.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $28.00 / $49.00	Professional		$28.00	$28.00	$49.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $38.36	Facility		$38.36	$38.36	$38.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $38.36 / $38.36	Professional		$28.00	$38.36	$38.36
United Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $30.56 / $43.22	Professional		$21.41	$30.56	$43.22