Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.00 / $377.00 / $921.00	Facility		$377.00	$377.00	$921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.13 / $377.00 / $458.99	Professional		$329.13	$377.00	$458.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.99 / $849.30 / $2,200.46	Facility		$724.99	$849.30	$2,200.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.81 / $408.18 / $1,003.71	Professional		$386.81	$408.18	$1,003.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $503.41 / $772.09 / $1,042.32	Facility		$503.41	$772.09	$1,042.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.86 / $694.88 / $1,653.20	Professional		$501.86	$694.88	$1,653.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $419.41 / $877.11	Facility		$419.41	$419.41	$877.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $306.17 / $641.97	Professional		$306.17	$306.17	$641.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $419.41 / $419.41	Facility		$419.41	$419.41	$419.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $419.41 / $419.41	Professional		$306.17	$419.41	$419.41
United Facility/Professional Professional Modifier Low / Median / High Price $256.79 / $385.18 / $516.01	Professional		$256.79	$385.18	$516.01