Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.54 / $123.54 / $373.00	Facility		$123.54	$123.54	$373.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $123.54 / $131.35	Professional		$103.68	$123.54	$131.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.97 / $253.00 / $655.50	Facility		$215.97	$253.00	$655.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $112.21 / $299.00	Professional		$109.18	$112.21	$299.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.06 / $230.00 / $310.50	Facility		$163.06	$230.00	$310.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $207.00 / $492.48	Professional		$149.50	$207.00	$492.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $243.79	Facility		$116.51	$116.51	$243.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $85.05 / $148.84	Professional		$85.05	$85.05	$148.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $116.51	Facility		$116.51	$116.51	$116.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $116.50 / $116.51	Professional		$85.05	$116.50	$116.51
United Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $92.18 / $184.00	Facility		$59.25	$92.18	$184.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $103.72 / $146.00	Professional		$69.98	$103.72	$146.00