Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.54 / $345.70 / $760.53	Facility		$197.54	$345.70	$760.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $197.54 / $197.54	Professional		$197.54	$197.54	$197.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.03 / $271.61 / $436.97	Facility		$218.03	$271.61	$436.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $215.23 / $320.50	Professional		$45.77	$215.23	$320.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.19 / $321.00 / $5,777.93	Facility		$185.19	$321.00	$5,777.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $539.62 / $6,829.52	Professional		$258.00	$539.62	$6,829.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.32 / $199.44 / $701.72	Facility		$127.32	$199.44	$701.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.91 / $283.73 / $354.66	Professional		$125.91	$283.73	$354.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $125.91 / $199.44 / $748.98	Facility		$125.91	$199.44	$748.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $125.91 / $125.91 / $125.91	Professional		$125.91	$125.91	$125.91
United Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $116.23 / $296.30	Professional		$81.36	$116.23	$296.30