Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.61 / $765.96 / $1,254.86	Facility		$384.61	$765.96	$1,254.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.63 / $172.56 / $325.94	Professional		$167.63	$172.56	$325.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $54.09 / $528.84	Professional		$38.00	$54.09	$528.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $1,191.73 / $11,716.53	Facility		$407.43	$1,191.73	$11,716.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.06 / $977.83 / $9,586.25	Professional		$426.06	$977.83	$9,586.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.23 / $419.83 / $1,576.21	Facility		$419.23	$419.83	$1,576.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $322.94 / $2,097.54	Professional		$144.21	$322.94	$2,097.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $419.23 / $419.83 / $1,576.21	Facility		$419.23	$419.83	$1,576.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $144.21 / $144.21	Professional		$144.21	$144.21	$144.21
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $147.91 / $448.91	Professional		$103.54	$147.91	$448.91