Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.07 / $313.07 / $942.00	Facility		$313.07	$313.07	$942.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.98 / $313.07 / $358.67	Professional		$273.98	$313.07	$358.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $547.32 / $641.16 / $1,661.21	Facility		$547.32	$641.16	$1,661.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.55 / $288.13 / $757.74	Professional		$250.55	$288.13	$757.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $437.16 / $582.88 / $786.89	Facility		$437.16	$582.88	$786.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.94 / $527.45 / $1,248.06	Professional		$380.94	$527.45	$1,248.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $686.78	Facility		$325.37	$325.37	$686.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $325.37 / $479.81	Professional		$237.52	$325.37	$479.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $325.37	Facility		$325.37	$325.37	$325.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $325.37 / $325.37	Professional		$237.52	$325.37	$325.37
United Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $281.42 / $391.32	Professional		$193.86	$281.42	$391.32