Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.22 / $103.22 / $299.00	Facility		$103.22	$103.22	$299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.11 / $103.22 / $149.63	Professional		$95.11	$103.22	$149.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.45 / $211.39 / $547.67	Facility		$180.45	$211.39	$547.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $112.50 / $253.66	Professional		$93.75	$112.50	$253.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.13 / $192.17 / $259.43	Facility		$144.13	$192.17	$259.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.91 / $192.17 / $411.47	Professional		$124.91	$192.17	$411.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $243.21	Facility		$124.31	$124.31	$243.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $159.79	Professional		$90.75	$90.75	$159.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $124.31	Facility		$124.31	$124.31	$124.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $124.31 / $124.31	Professional		$90.75	$124.31	$124.31
United Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $95.87 / $139.27	Professional		$63.92	$95.87	$139.27