Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.52 / $291.52 / $848.00	Facility		$291.52	$291.52	$848.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $291.52 / $500.06	Professional		$284.13	$291.52	$500.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.60 / $656.72 / $1,701.51	Facility		$560.60	$656.72	$1,701.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.10 / $358.64 / $788.06	Professional		$299.10	$358.64	$788.06
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $507.47 / $507.47 / $507.47	Professional		$507.47	$507.47	$507.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $447.77 / $597.02 / $828.22	Facility		$447.77	$597.02	$828.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $417.91 / $597.02 / $1,278.33	Professional		$417.91	$597.02	$1,278.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.20 / $386.20 / $815.55	Facility		$386.20	$386.20	$815.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $281.93 / $496.41	Professional		$281.93	$281.93	$496.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $386.20 / $386.20 / $386.20	Facility		$386.20	$386.20	$386.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $386.20 / $386.20	Professional		$281.93	$386.20	$386.20
United Facility/Professional Professional Modifier Low / Median / High Price $198.56 / $297.85 / $458.97	Professional		$198.56	$297.85	$458.97