Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.94 / $155.94 / $434.00	Facility		$155.94	$155.94	$434.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.75 / $155.94 / $229.43	Professional		$141.75	$155.94	$229.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.89 / $351.31 / $910.20	Facility		$299.89	$351.31	$910.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.01 / $166.74 / $415.18	Professional		$160.01	$166.74	$415.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.53 / $319.37 / $447.12	Facility		$239.53	$319.37	$447.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.59 / $304.83 / $683.84	Professional		$207.59	$304.83	$683.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $357.90	Facility		$170.54	$170.54	$357.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $124.49 / $217.86	Professional		$124.49	$124.49	$217.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Facility		$170.54	$170.54	$170.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $170.54 / $170.54	Professional		$124.49	$170.54	$170.54
United Facility/Professional Professional Modifier Low / Median / High Price $106.22 / $159.33 / $209.82	Professional		$106.22	$159.33	$209.82