Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.54 / $176.54 / $795.01	Facility		$176.54	$176.54	$795.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $176.54 / $187.57	Professional		$176.54	$176.54	$187.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.88 / $224.33 / $354.73	Facility		$141.88	$224.33	$354.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $163.60 / $214.24	Professional		$139.97	$163.60	$214.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $305.95 / $305.95 / $373.94	Facility		$305.95	$305.95	$373.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.50 / $168.13 / $228.65	Facility		$134.50	$168.13	$228.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $134.50 / $158.71 / $281.11	Facility		$134.50	$158.71	$281.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $220.67	Professional		$187.57	$187.57	$220.67