Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.22 / $228.00 / $2,013.00	Facility		$115.22	$228.00	$2,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.63 / $123.42 / $165.00	Professional		$103.63	$123.42	$165.00
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 $160.66 / $224.66 / $354.92	Professional		$160.66	$224.66	$354.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,709.49 / $12,709.49 / $15,843.06	Facility		$12,709.49	$12,709.49	$15,843.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.22 / $127.22 / $127.22	Facility		$127.22	$127.22	$127.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $88.53	Professional		$88.53	$88.53	$88.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $127.22 / $127.22 / $127.22	Facility		$127.22	$127.22	$127.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $88.53	Professional		$88.53	$88.53	$88.53
United Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $216.96 / $368.14	Professional		$133.18	$216.96	$368.14