Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $147.56 / $576.40	Facility		$52.17	$147.56	$576.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.61 / $147.56	Professional		$53.08	$53.61	$147.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $92.70 / $152.34	Facility		$57.33	$92.70	$152.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $91.91	Professional		$53.08	$53.08	$91.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $53.08 / $80.15	Facility		$53.08	$53.08	$80.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $71.66	Professional		$53.08	$53.08	$71.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Facility		$47.49	$47.49	$47.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $74.72	Professional		$47.49	$47.49	$74.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $92.99 / $188.55	Facility		$37.79	$92.99	$188.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $74.72	Professional		$47.49	$47.49	$74.72
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $73.84	Professional		$53.08	$53.08	$73.84