Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $96.80 / $96.80	Facility		$96.80	$96.80	$96.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $96.80 / $136.43	Professional		$87.78	$96.80	$136.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $187.36 / $299.77	Facility		$135.94	$187.36	$299.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.59 / $154.44 / $256.39	Professional		$136.59	$154.44	$256.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $19.61 / $199.79	Facility		$14.53	$19.61	$199.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $19.61 / $207.87	Professional		$13.60	$19.61	$207.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $220.35	Facility		$64.17	$64.17	$220.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $64.17 / $202.50	Professional		$54.54	$64.17	$202.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $139.79	Facility		$64.17	$64.17	$139.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $64.17 / $64.17	Professional		$54.54	$64.17	$64.17
United Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $84.38 / $145.36	Professional		$48.22	$84.38	$145.36