Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $416.64 / $519.00	Facility		$153.60	$416.64	$519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $153.60 / $427.01	Professional		$153.60	$153.60	$427.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $374.40 / $1,040.00	Facility		$240.00	$374.40	$1,040.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $172.80 / $277.05	Professional		$160.00	$172.80	$277.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.12 / $231.12 / $392.90	Facility		$231.12	$231.12	$392.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.20 / $171.20 / $231.12	Professional		$171.20	$171.20	$231.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $256.77	Professional		$163.19	$163.19	$256.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $256.77	Professional		$163.19	$163.19	$256.77
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $173.06	Professional		$160.00	$160.00	$173.06