Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.03 / $206.03 / $403.00	Facility		$206.03	$206.03	$403.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.57 / $206.03 / $289.23	Professional		$190.57	$206.03	$289.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.21 / $464.15 / $1,202.56	Facility		$396.21	$464.15	$1,202.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.42 / $258.69 / $548.53	Professional		$227.42	$258.69	$548.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.85 / $421.95 / $569.63	Facility		$296.85	$421.95	$569.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $379.76 / $903.48	Professional		$274.27	$379.76	$903.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $485.63	Facility		$277.45	$277.45	$485.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $202.54 / $280.08	Professional		$202.54	$202.54	$280.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $277.45	Facility		$277.45	$277.45	$277.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $277.45 / $277.45	Professional		$202.54	$277.45	$277.45
United Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $210.51 / $339.62	Professional		$140.34	$210.51	$339.62