Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.77 / $278.77 / $645.00	Facility		$278.77	$278.77	$645.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.62 / $278.77 / $399.24	Professional		$252.62	$278.77	$399.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.10 / $628.02 / $1,627.15	Facility		$536.10	$628.02	$1,627.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.05 / $296.30 / $742.20	Professional		$286.05	$296.30	$742.20
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $485.29 / $485.29 / $485.29	Professional		$485.29	$485.29	$485.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $386.38 / $570.92 / $770.76	Facility		$386.38	$570.92	$770.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.10 / $513.84 / $1,222.48	Professional		$371.10	$513.84	$1,222.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $615.85	Facility		$305.54	$305.54	$615.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $223.04 / $390.33	Professional		$223.04	$223.04	$390.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $305.54	Facility		$305.54	$305.54	$305.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $305.54 / $305.54	Professional		$223.04	$305.54	$305.54
United Facility/Professional Facility Modifier Low / Median / High Price $244.40 / $244.40 / $244.40	Facility		$244.40	$244.40	$244.40
United Facility/Professional Professional Modifier Low / Median / High Price $189.89 / $284.83 / $375.92	Professional		$189.89	$284.83	$375.92