Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.55 / $184.55 / $511.00	Facility		$184.55	$184.55	$511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $184.55 / $211.43	Professional		$162.24	$184.55	$211.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.64 / $377.96 / $979.26	Facility		$322.64	$377.96	$979.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.63 / $724.17 / $1,130.01	Professional		$183.63	$724.17	$1,130.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.70 / $343.60 / $463.86	Facility		$257.70	$343.60	$463.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.56 / $310.92 / $735.72	Professional		$224.56	$310.92	$735.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $404.84	Facility		$192.25	$192.25	$404.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $140.34 / $245.60	Professional		$140.34	$140.34	$245.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $192.25	Facility		$192.25	$192.25	$192.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $192.25 / $192.25	Professional		$140.34	$192.25	$192.25
United Facility/Professional Professional Modifier Low / Median / High Price $114.28 / $165.57 / $236.53	Professional		$114.28	$165.57	$236.53