Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $300.68 / $538.41	Facility		$139.85	$300.68	$538.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $139.85 / $143.34	Professional		$122.37	$139.85	$143.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.36 / $188.79 / $309.36	Facility		$154.36	$188.79	$309.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $167.46 / $301.93	Professional		$104.30	$167.46	$301.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $511.32 / $5,021.55	Facility		$174.81	$511.32	$5,021.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.60 / $419.54 / $4,108.55	Professional		$182.60	$419.54	$4,108.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $368.16 / $1,178.58	Facility		$198.85	$368.16	$1,178.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $229.00 / $899.96	Professional		$139.85	$229.00	$899.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $368.16 / $1,178.58	Facility		$198.85	$368.16	$1,178.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $139.85 / $139.85	Professional		$139.85	$139.85	$139.85
United Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Facility		$174.81	$174.81	$174.81
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $254.70	Professional		$73.42	$104.89	$254.70