Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.30 / $252.16 / $413.11	Facility		$107.30	$252.16	$413.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $107.30 / $109.99	Professional		$93.89	$107.30	$109.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.53 / $699.24 / $1,240.94	Professional		$211.53	$699.24	$1,240.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $392.33 / $3,859.02	Facility		$134.13	$392.33	$3,859.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.33 / $321.91 / $3,157.38	Professional		$140.33	$321.91	$3,157.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.57 / $282.45 / $904.24	Facility		$152.57	$282.45	$904.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $575.63 / $755.76	Professional		$107.30	$575.63	$755.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $152.57 / $282.45 / $904.24	Facility		$152.57	$282.45	$904.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $107.30 / $107.30	Professional		$107.30	$107.30	$107.30
United Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $160.96	Facility		$160.96	$160.96	$160.96
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $80.48 / $177.15	Professional		$56.33	$80.48	$177.15