Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.36 / $303.36 / $1,022.32	Facility		$303.36	$303.36	$1,022.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.71 / $303.36 / $392.43	Professional		$215.71	$303.36	$392.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $530.35 / $621.28 / $1,609.68	Facility		$530.35	$621.28	$1,609.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $275.51 / $745.53	Professional		$230.00	$275.51	$745.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $423.60 / $564.79 / $762.48	Facility		$423.60	$564.79	$762.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $369.08 / $511.03 / $1,209.34	Professional		$369.08	$511.03	$1,209.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $665.40	Facility		$315.25	$315.25	$665.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $230.13 / $402.73	Professional		$230.13	$230.13	$402.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $315.25	Facility		$315.25	$315.25	$315.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $315.25 / $315.25	Professional		$230.13	$315.25	$315.25
United Facility/Professional Professional Modifier Low / Median / High Price $187.84 / $269.26 / $379.23	Professional		$187.84	$269.26	$379.23