Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.54 / $291.20 / $399.00	Facility		$112.54	$291.20	$399.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.42 / $112.54 / $309.19	Professional		$112.42	$112.54	$309.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.62 / $210.21 / $349.38	Facility		$126.62	$210.21	$349.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $183.37	Professional		$90.00	$90.00	$183.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.01 / $130.01 / $221.02	Facility		$130.01	$130.01	$221.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $96.30 / $130.01	Professional		$96.30	$96.30	$130.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.08 / $119.58 / $119.58	Facility		$113.08	$119.58	$119.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $177.92	Professional		$119.58	$119.58	$177.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $113.08 / $113.08 / $113.08	Facility		$113.08	$113.08	$113.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $177.92	Professional		$119.58	$119.58	$177.92
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $126.81	Professional		$117.24	$117.24	$126.81