Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.99 / $298.00 / $612.11	Facility		$158.99	$298.00	$612.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $158.99 / $158.99	Professional		$115.86	$158.99	$158.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.49 / $214.64 / $351.71	Facility		$175.49	$214.64	$351.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.09 / $226.56 / $409.14	Professional		$86.09	$226.56	$409.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.74 / $581.30 / $5,709.48	Facility		$198.74	$581.30	$5,709.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.62 / $476.98 / $4,671.39	Professional		$207.62	$476.98	$4,671.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.27 / $169.44 / $850.08	Facility		$153.27	$169.44	$850.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $216.83 / $766.31	Professional		$96.83	$216.83	$766.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $153.27 / $169.44 / $850.08	Facility		$153.27	$169.44	$850.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $96.83 / $96.83	Professional		$96.83	$96.83	$96.83
United Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $89.38 / $240.27	Professional		$62.56	$89.38	$240.27