Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.10 / $130.10 / $438.43	Facility		$130.10	$130.10	$438.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $130.10 / $158.72	Professional		$113.86	$130.10	$158.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.45 / $266.45 / $690.36	Facility		$227.45	$266.45	$690.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.17 / $130.69 / $318.29	Professional		$118.17	$130.69	$318.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.67 / $242.23 / $327.01	Facility		$181.67	$242.23	$327.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.34 / $219.24 / $518.66	Professional		$158.34	$219.24	$518.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $285.47	Facility		$135.22	$135.22	$285.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $135.22 / $198.58	Professional		$98.72	$135.22	$198.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $159.46	Facility		$135.22	$135.22	$159.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $135.22 / $135.22	Professional		$98.72	$135.22	$135.22
United Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $115.81 / $165.22	Professional		$80.56	$115.81	$165.22