Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.10 / $247.10 / $439.29	Facility		$114.10	$247.10	$439.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $114.10 / $116.96	Professional		$99.84	$114.10	$116.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.94 / $154.04 / $252.41	Facility		$125.94	$154.04	$252.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $6.86 / $185.13	Professional		$5.03	$6.86	$185.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $417.19 / $4,100.72	Facility		$142.63	$417.19	$4,100.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.12 / $342.31 / $3,355.14	Professional		$149.12	$342.31	$3,355.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $146.85 / $813.99	Facility		$127.29	$146.85	$813.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $186.85 / $802.52	Professional		$114.10	$186.85	$802.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $146.85 / $825.94	Facility		$127.29	$146.85	$825.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $114.10 / $114.10	Professional		$114.10	$114.10	$114.10
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $188.37	Professional		$59.90	$85.58	$188.37