Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.08 / $386.08 / $938.00	Facility		$386.08	$386.08	$938.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.57 / $386.08 / $506.34	Professional		$344.57	$386.08	$506.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.45 / $869.75 / $2,253.44	Facility		$742.45	$869.75	$2,253.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.13 / $424.98 / $1,027.88	Professional		$396.13	$424.98	$1,027.88
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $672.08 / $672.08 / $672.08	Professional		$672.08	$672.08	$672.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $533.38 / $790.68 / $1,067.42	Facility		$533.38	$790.68	$1,067.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $513.94 / $711.61 / $1,693.00	Professional		$513.94	$711.61	$1,693.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.36 / $564.36 / $857.79	Facility		$564.36	$564.36	$857.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $411.98 / $657.44	Professional		$411.98	$411.98	$657.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $564.36 / $564.36 / $564.36	Facility		$564.36	$564.36	$564.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $564.36 / $564.36	Professional		$411.98	$564.36	$564.36
United Facility/Professional Professional Modifier Low / Median / High Price $262.98 / $394.46 / $513.79	Professional		$262.98	$394.46	$513.79