Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $246.75 / $375.49	Facility		$121.91	$246.75	$375.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $105.36 / $637.69	Professional		$99.97	$105.36	$637.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.65 / $131.66 / $215.74	Facility		$107.65	$131.66	$215.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.98 / $800.00 / $1,419.76	Professional		$250.98	$800.00	$1,419.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $356.59 / $3,505.59	Facility		$121.91	$356.59	$3,505.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $292.58 / $2,868.21	Professional		$127.48	$292.58	$2,868.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.44 / $138.66 / $695.73	Facility		$125.44	$138.66	$695.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $197.18 / $627.29	Professional		$88.05	$197.18	$627.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $125.44 / $138.66 / $695.73	Facility		$125.44	$138.66	$695.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.05 / $88.05	Professional		$88.05	$88.05	$88.05
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $73.15 / $161.36	Professional		$51.20	$73.15	$161.36