Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.77 / $321.77 / $920.00	Facility		$321.77	$321.77	$920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.91 / $321.77 / $342.13	Professional		$237.91	$321.77	$342.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.54 / $659.00 / $1,707.41	Facility		$562.54	$659.00	$1,707.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.27 / $300.87 / $778.81	Professional		$289.27	$300.87	$778.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.26 / $599.09 / $808.77	Facility		$398.26	$599.09	$808.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.41 / $539.17 / $1,282.77	Professional		$389.41	$539.17	$1,282.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $643.67	Facility		$387.54	$387.54	$643.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $282.89 / $495.08	Professional		$282.89	$282.89	$495.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $387.54	Facility		$387.54	$387.54	$387.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $387.54 / $387.54	Professional		$282.89	$387.54	$387.54
United Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $275.76 / $380.28	Professional		$167.06	$275.76	$380.28