Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.54 / $424.71 / $760.53	Facility		$197.54	$424.71	$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 $206.43 / $271.61 / $436.97	Facility		$206.43	$271.61	$436.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.77 / $181.23	Professional		$38.90	$45.77	$181.23
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 $160.50 / $254.23 / $955.45	Facility		$160.50	$254.23	$955.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $283.73 / $354.66	Professional		$160.50	$283.73	$354.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $160.50 / $254.23 / $955.45	Facility		$160.50	$254.23	$955.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $160.50 / $160.50	Professional		$160.50	$160.50	$160.50
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $148.15 / $296.30	Professional		$103.71	$148.15	$296.30