Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.50 / $303.50 / $652.00	Facility		$303.50	$303.50	$652.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.74 / $303.50 / $383.75	Professional		$258.74	$303.50	$383.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.64 / $683.72 / $1,771.45	Facility		$583.64	$683.72	$1,771.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.41 / $322.36 / $808.02	Professional		$311.41	$322.36	$808.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $404.01 / $621.55 / $839.11	Facility		$404.01	$621.55	$839.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $404.01 / $559.40 / $1,330.88	Professional		$404.01	$559.40	$1,330.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $681.89	Facility		$402.09	$402.09	$681.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $293.52 / $513.66	Professional		$293.52	$293.52	$513.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $402.09	Facility		$402.09	$402.09	$402.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $402.09 / $402.09	Professional		$293.52	$402.09	$402.09
United Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.73 / $310.08 / $417.50	Professional		$206.73	$310.08	$417.50