Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.38 / $216.96 / $874.00	Facility		$64.38	$216.96	$874.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $64.38 / $88.64	Professional		$62.75	$64.38	$88.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $145.02 / $375.74	Facility		$123.80	$145.02	$375.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $70.98 / $204.76	Professional		$64.31	$70.98	$204.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.88 / $131.84 / $177.98	Facility		$98.88	$131.84	$177.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $119.31 / $282.30	Professional		$86.17	$119.31	$282.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $155.35	Facility		$104.66	$104.66	$155.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $88.96 / $109.63	Professional		$88.96	$88.96	$109.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $104.66	Facility		$104.66	$104.66	$104.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $104.66 / $104.66	Professional		$88.96	$104.66	$104.66
United Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $65.78 / $95.55	Professional		$43.85	$65.78	$95.55