Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.49 / $189.19 / $637.57	Facility		$116.49	$189.19	$637.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.56 / $189.19 / $230.81	Professional		$165.56	$189.19	$230.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.75 / $387.46 / $1,003.88	Facility		$330.75	$387.46	$1,003.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.81 / $191.64 / $466.86	Professional		$171.81	$191.64	$466.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $264.18 / $352.24 / $475.52	Facility		$264.18	$352.24	$475.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $230.17 / $318.69 / $754.22	Professional		$230.17	$318.69	$754.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $414.96	Facility		$212.98	$212.98	$414.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $212.98 / $298.63	Professional		$155.47	$212.98	$298.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $212.98	Facility		$212.98	$212.98	$212.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $212.98 / $212.98	Professional		$155.47	$212.98	$212.98
United Facility/Professional Professional Modifier Low / Median / High Price $117.15 / $170.05 / $236.50	Professional		$117.15	$170.05	$236.50