Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.63 / $323.63 / $1,044.00	Facility		$323.63	$323.63	$1,044.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.06 / $323.63 / $374.05	Professional		$286.06	$323.63	$374.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $565.79 / $662.79 / $1,717.24	Facility		$565.79	$662.79	$1,717.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.94 / $326.86 / $791.73	Professional		$293.94	$326.86	$791.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $451.91 / $602.54 / $813.43	Facility		$451.91	$602.54	$813.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.90 / $542.64 / $1,290.16	Professional		$391.90	$542.64	$1,290.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.61 / $380.61 / $706.56	Facility		$380.61	$380.61	$706.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $277.85 / $501.01	Professional		$277.85	$277.85	$501.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $380.61 / $380.61 / $380.61	Facility		$380.61	$380.61	$380.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $380.61 / $380.61	Professional		$277.85	$380.61	$380.61
United Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $283.57 / $403.47	Professional		$200.40	$283.57	$403.47