Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.23 / $202.23 / $523.00	Facility		$202.23	$202.23	$523.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $202.23 / $278.54	Professional		$197.11	$202.23	$278.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $388.91 / $455.59 / $1,180.38	Facility		$388.91	$455.59	$1,180.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.51 / $231.33 / $538.41	Professional		$207.51	$231.33	$538.41
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $352.04 / $352.04 / $352.04	Professional		$352.04	$352.04	$352.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.63 / $414.17 / $559.13	Facility		$310.63	$414.17	$559.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $270.70 / $374.83 / $886.82	Professional		$270.70	$374.83	$886.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $488.06	Facility		$267.94	$267.94	$488.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $195.60 / $342.29	Professional		$195.60	$195.60	$342.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $267.94	Facility		$267.94	$267.94	$267.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $267.94 / $267.94	Professional		$195.60	$267.94	$267.94
United Facility/Professional Professional Modifier Low / Median / High Price $137.75 / $206.62 / $284.45	Professional		$137.75	$206.62	$284.45