Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.78 / $98.78 / $310.00	Facility		$98.78	$98.78	$310.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.03 / $98.78 / $130.63	Professional		$91.03	$98.78	$130.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.69 / $202.30 / $524.14	Facility		$172.69	$202.30	$524.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.72 / $107.64 / $245.07	Professional		$89.72	$107.64	$245.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $193.11 / $257.47	Facility		$137.93	$193.11	$257.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $183.91 / $393.79	Professional		$128.74	$183.91	$393.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $287.20	Facility		$126.23	$126.23	$287.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $92.15 / $152.91	Professional		$92.15	$92.15	$152.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $126.23	Facility		$126.23	$126.23	$126.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $126.23 / $126.23	Professional		$92.15	$126.23	$126.23
United Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $91.70 / $133.29	Professional		$61.17	$91.70	$133.29