Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.10 / $292.10 / $1,002.00	Facility		$292.10	$292.10	$1,002.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.17 / $292.10 / $349.99	Professional		$269.17	$292.10	$349.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.67 / $598.22 / $1,549.94	Facility		$510.67	$598.22	$1,549.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.31 / $310.23 / $706.99	Professional		$265.31	$310.23	$706.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.88 / $543.84 / $761.38	Facility		$407.88	$543.84	$761.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $353.50 / $536.83 / $1,164.47	Professional		$353.50	$536.83	$1,164.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.03 / $331.03 / $679.08	Facility		$331.03	$331.03	$679.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $241.65 / $363.39	Professional		$241.65	$241.65	$363.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $331.03 / $331.03 / $331.03	Facility		$331.03	$331.03	$331.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $331.03 / $331.03	Professional		$241.65	$331.03	$331.03
United Facility/Professional Professional Modifier Low / Median / High Price $180.88 / $264.29 / $394.27	Professional		$180.88	$264.29	$394.27