Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.45 / $1,022.45 / $1,073.25	Facility		$1,022.45	$1,022.45	$1,073.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.80 / $1,022.45 / $1,386.08	Professional		$951.80	$1,022.45	$1,386.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $813.86 / $940.94 / $1,965.86	Professional		$813.86	$940.94	$1,965.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.77 / $190.36 / $314.08	Facility		$142.77	$190.36	$314.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.73 / $190.36 / $1,670.41	Professional		$123.73	$190.36	$1,670.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $107.63 / $107.63	Facility		$64.00	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $91.49 / $141.27	Professional		$91.49	$91.49	$141.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $107.63 / $107.63	Professional		$91.49	$107.63	$107.63
United Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $94.97 / $833.76	Professional		$63.31	$94.97	$833.76