Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.04 / $352.00 / $1,812.00	Facility		$145.04	$352.00	$1,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.85 / $218.09 / $241.15	Professional		$175.85	$218.09	$241.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.00 / $367.00 / $371.00	Facility		$367.00	$367.00	$371.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.43 / $360.00 / $590.04	Professional		$205.43	$360.00	$590.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,674.97 / $12,674.97 / $15,819.06	Facility		$12,674.97	$12,674.97	$15,819.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.14 / $212.14 / $212.14	Facility		$212.14	$212.14	$212.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $146.27	Professional		$146.27	$146.27	$146.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $212.14 / $212.14 / $249.00	Facility		$212.14	$212.14	$249.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $146.27	Professional		$146.27	$146.27	$146.27
United Facility/Professional Facility Modifier Low / Median / High Price $60.66 / $60.66 / $181.97	Facility		$60.66	$60.66	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $161.11 / $285.77 / $531.69	Professional		$161.11	$285.77	$531.69