Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.37 / $607.16 / $994.72	Facility		$258.37	$607.16	$994.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.20 / $258.37 / $264.83	Professional		$251.20	$258.37	$264.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.17 / $348.80 / $571.54	Facility		$285.17	$348.80	$571.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $17.11 / $419.20	Professional		$6.83	$17.11	$419.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $944.66 / $9,280.37	Facility		$322.95	$944.66	$9,280.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $337.47 / $775.10 / $7,593.03	Professional		$337.47	$775.10	$7,593.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.30 / $367.36 / $1,843.10	Facility		$332.30	$367.36	$1,843.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $470.09 / $1,662.71	Professional		$209.93	$470.09	$1,662.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $332.30 / $367.36 / $1,843.10	Facility		$332.30	$367.36	$1,843.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $209.93 / $209.93	Professional		$209.93	$209.93	$209.93
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $193.78 / $423.08	Professional		$135.63	$193.78	$423.08