Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.06 / $183.06 / $638.00	Facility		$183.06	$183.06	$638.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.22 / $183.06 / $209.74	Professional		$160.22	$183.06	$209.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.02 / $374.90 / $971.34	Facility		$320.02	$374.90	$971.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $184.54 / $443.06	Professional		$166.26	$184.54	$443.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.62 / $340.82 / $460.11	Facility		$255.62	$340.82	$460.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.73 / $308.39 / $729.76	Professional		$222.73	$308.39	$729.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $964.00	Facility		$227.96	$227.96	$964.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $283.39	Professional		$166.41	$166.41	$283.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $227.96	Facility		$227.96	$227.96	$227.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $227.96 / $227.96	Professional		$166.41	$227.96	$227.96
United Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $162.44 / $228.86	Professional		$113.36	$162.44	$228.86