Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $193.60 / $431.00	Facility		$193.60	$193.60	$431.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $193.60 / $205.70	Professional		$193.60	$193.60	$205.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $193.60 / $193.60	Professional		$75.31	$193.60	$193.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $84.38 / $108.97	Facility		$73.37	$84.38	$108.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $73.37	Professional		$73.37	$73.37	$73.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $215.05 / $215.05 / $215.05	Facility		$215.05	$215.05	$215.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $242.00	Professional		$205.70	$205.70	$242.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $276.32	Professional		$220.00	$220.00	$276.32