Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.97 / $172.97 / $489.00	Facility		$172.97	$172.97	$489.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $172.97 / $183.91	Professional		$159.38	$172.97	$183.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $354.24 / $917.81	Facility		$302.39	$354.24	$917.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.10 / $175.13 / $418.65	Professional		$157.10	$175.13	$418.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.53 / $322.04 / $434.75	Facility		$241.53	$322.04	$434.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $209.33 / $289.83 / $689.55	Professional		$209.33	$289.83	$689.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $380.83	Facility		$181.86	$181.86	$380.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $132.76 / $232.33	Professional		$132.76	$132.76	$232.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $181.86	Facility		$181.86	$181.86	$181.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $181.86 / $181.86	Professional		$132.76	$181.86	$181.86
United Facility/Professional Facility Modifier Low / Median / High Price $92.48 / $143.90 / $257.63	Facility		$92.48	$143.90	$257.63
United Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $153.94 / $222.19	Professional		$107.11	$153.94	$222.19