Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.36 / $170.36 / $403.00	Facility		$170.36	$170.36	$403.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.84 / $170.36 / $211.44	Professional		$148.84	$170.36	$211.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.61 / $383.78 / $994.34	Facility		$327.61	$383.78	$994.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.20 / $183.72 / $453.55	Professional		$170.20	$183.72	$453.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.32 / $348.89 / $471.00	Facility		$242.32	$348.89	$471.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.78 / $314.00 / $747.04	Professional		$226.78	$314.00	$747.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $225.68 / $396.77	Facility		$225.68	$225.68	$396.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $164.75 / $288.31	Professional		$164.75	$164.75	$288.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $225.68 / $225.68	Facility		$225.68	$225.68	$225.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $225.68 / $225.68	Professional		$164.75	$225.68	$225.68
United Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $174.06 / $231.18	Professional		$116.04	$174.06	$231.18