Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $495.77 / $520.46	Facility		$200.00	$495.77	$520.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.93 / $495.77 / $702.88	Professional		$461.93	$495.77	$702.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.67 / $758.04 / $1,242.42	Professional		$547.67	$758.04	$1,242.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $92.30 / $137.09	Facility		$69.23	$92.30	$137.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $92.30 / $221.52	Professional		$60.00	$92.30	$221.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.40 / $872.40 / $872.40	Facility		$872.40	$872.40	$872.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.37 / $643.37 / $1,068.75	Professional		$643.37	$643.37	$1,068.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $872.40 / $872.40 / $872.40	Facility		$872.40	$872.40	$872.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $643.37 / $643.37	Professional		$65.25	$643.37	$643.37
United Facility/Professional Professional Modifier Low / Median / High Price $236.96 / $355.45 / $586.11	Professional		$236.96	$355.45	$586.11