Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.04 / $164.50 / $397.65	Facility		$143.04	$164.50	$397.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $143.04 / $397.00	Professional		$143.04	$143.04	$397.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $252.66 / $771.03	Facility		$128.69	$252.66	$771.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $68.40 / $159.65	Professional		$57.00	$68.40	$159.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.99 / $120.99 / $59,702.01	Facility		$120.99	$120.99	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Facility		$151.97	$151.97	$151.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $239.12	Professional		$151.97	$151.97	$239.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Facility		$151.97	$151.97	$151.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $239.12	Professional		$151.97	$151.97	$239.12
United Facility/Professional Professional Modifier Low / Median / High Price $107.37 / $107.37 / $107.37	Professional		$107.37	$107.37	$107.37