Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $312.19 / $505.00	Facility		$131.16	$312.19	$505.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $141.69	Professional		$131.16	$131.16	$141.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.78 / $177.08 / $290.16	Facility		$144.78	$177.08	$290.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.82 / $800.00 / $1,452.80	Professional		$212.82	$800.00	$1,452.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $479.58 / $4,714.50	Facility		$163.96	$479.58	$4,714.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.44 / $393.50 / $3,857.33	Professional		$171.44	$393.50	$3,857.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.70 / $186.50 / $935.68	Facility		$168.70	$186.50	$935.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $238.66 / $923.32	Professional		$106.58	$238.66	$923.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $168.70 / $186.50 / $935.68	Facility		$168.70	$186.50	$935.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $106.58 / $106.58	Professional		$106.58	$106.58	$106.58
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $98.38 / $223.69	Professional		$68.86	$98.38	$223.69