Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.37 / $584.03 / $994.72	Facility		$258.37	$584.03	$994.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.37 / $258.37 / $306.81	Professional		$258.37	$258.37	$306.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.17 / $355.26 / $571.54	Facility		$285.17	$355.26	$571.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $14.88 / $222.84	Professional		$5.95	$14.88	$222.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.22 / $419.85 / $7,557.26	Facility		$242.22	$419.85	$7,557.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $337.47 / $705.82 / $8,932.98	Professional		$337.47	$705.82	$8,932.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.92 / $332.51 / $1,224.56	Facility		$209.92	$332.51	$1,224.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.92 / $370.87 / $470.09	Professional		$209.92	$370.87	$470.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $209.92 / $332.51 / $1,249.65	Facility		$209.92	$332.51	$1,249.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $209.92 / $209.92 / $209.92	Professional		$209.92	$209.92	$209.92
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $193.78 / $387.55	Professional		$135.63	$193.78	$387.55