Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $148.96 / $471.00	Facility		$148.96	$148.96	$471.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $148.96 / $205.13	Professional		$145.19	$148.96	$205.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.45 / $335.58 / $869.45	Facility		$286.45	$335.58	$869.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.83 / $164.70 / $396.59	Professional		$148.83	$164.70	$396.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.80 / $305.07 / $411.84	Facility		$228.80	$305.07	$411.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.37 / $276.06 / $653.22	Professional		$199.37	$276.06	$653.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $359.45	Facility		$170.29	$170.29	$359.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $144.75 / $253.31	Professional		$144.75	$144.75	$253.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $170.29	Facility		$170.29	$170.29	$170.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $170.29 / $170.29	Professional		$144.75	$170.29	$170.29
United Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $152.19 / $209.50	Professional		$101.46	$152.19	$209.50