Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.25 / $124.95 / $440.21	Facility		$44.25	$124.95	$440.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.60 / $159.50 / $239.36	Professional		$139.60	$159.50	$239.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.85 / $326.66 / $846.34	Facility		$278.85	$326.66	$846.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.86 / $155.36 / $393.71	Professional		$144.86	$155.36	$393.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.72 / $296.95 / $400.90	Facility		$222.72	$296.95	$400.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $268.75 / $635.85	Professional		$194.10	$268.75	$635.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $349.93	Facility		$176.58	$176.58	$349.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $176.58 / $244.34	Professional		$128.90	$176.58	$244.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $176.58	Facility		$176.58	$176.58	$176.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $176.58 / $176.58	Professional		$128.90	$176.58	$176.58
United Facility/Professional Professional Modifier Low / Median / High Price $98.77 / $141.55 / $199.18	Professional		$98.77	$141.55	$199.18