Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.49 / $139.49 / $496.00	Facility		$139.49	$139.49	$496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.07 / $139.49 / $159.80	Professional		$122.07	$139.49	$159.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.86 / $285.67 / $740.15	Facility		$243.86	$285.67	$740.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $135.85 / $337.61	Professional		$126.69	$135.85	$337.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.78 / $259.70 / $350.60	Facility		$194.78	$259.70	$350.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.72 / $234.99 / $556.07	Professional		$169.72	$234.99	$556.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $305.98	Facility		$168.00	$168.00	$305.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $215.94	Professional		$122.64	$122.64	$215.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $168.00	Facility		$168.00	$168.00	$168.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $168.00 / $168.00	Professional		$122.64	$168.00	$168.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $121.96 / $174.38	Professional		$83.71	$121.96	$174.38