Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.74 / $112.74 / $398.00	Facility		$112.74	$112.74	$398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $112.74 / $129.21	Professional		$98.70	$112.74	$129.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.11 / $230.90 / $598.24	Facility		$197.11	$230.90	$598.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $111.51 / $277.08	Professional		$82.66	$111.51	$277.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.43 / $209.91 / $283.38	Facility		$157.43	$209.91	$283.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $189.96 / $449.46	Professional		$137.19	$189.96	$449.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $149.11 / $247.34	Facility		$149.11	$149.11	$247.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $108.85 / $156.57	Professional		$108.85	$108.85	$156.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $149.11 / $149.11	Facility		$149.11	$149.11	$149.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $149.11 / $149.11	Professional		$108.85	$149.11	$149.11
United Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $99.65 / $148.40	Professional		$69.81	$99.65	$148.40