Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.04 / $128.04 / $323.00	Facility		$128.04	$128.04	$323.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $128.04 / $170.07	Professional		$124.80	$128.04	$170.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.23 / $288.45 / $747.36	Facility		$246.23	$288.45	$747.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.38 / $146.40 / $340.89	Professional		$131.38	$146.40	$340.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $196.67 / $262.23 / $354.01	Facility		$196.67	$262.23	$354.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.45 / $236.01 / $561.49	Professional		$170.45	$236.01	$561.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $159.21 / $318.22	Facility		$159.21	$159.21	$318.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $116.22 / $203.39	Professional		$116.22	$116.22	$203.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $159.21 / $159.21	Facility		$159.21	$159.21	$159.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $159.21 / $159.21	Professional		$116.22	$159.21	$159.21
United Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $130.82 / $190.03	Professional		$87.21	$130.82	$190.03