Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.64 / $327.64 / $831.00	Facility		$327.64	$327.64	$831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.35 / $327.64 / $451.21	Professional		$319.35	$327.64	$451.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.10 / $738.13 / $1,912.44	Facility		$630.10	$738.13	$1,912.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.18 / $373.15 / $872.33	Professional		$336.18	$373.15	$872.33
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $570.38 / $570.38 / $570.38	Professional		$570.38	$570.38	$570.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $503.27 / $671.03 / $905.89	Facility		$503.27	$671.03	$905.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $438.48 / $607.12 / $1,436.81	Professional		$438.48	$607.12	$1,436.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $434.07 / $790.52	Facility		$434.07	$434.07	$790.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $316.87 / $554.52	Professional		$316.87	$316.87	$554.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $434.07 / $434.07	Facility		$434.07	$434.07	$434.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $434.07 / $434.07	Professional		$316.87	$434.07	$434.07
United Facility/Professional Professional Modifier Low / Median / High Price $223.18 / $334.76 / $460.81	Professional		$223.18	$334.76	$460.81