Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.32 / $494.02 / $1,097.48	Facility		$200.32	$494.02	$1,097.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $200.32 / $253.62	Professional		$157.43	$200.32	$253.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.36 / $205.54 / $533.32	Professional		$185.36	$205.54	$533.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.58 / $410.25 / $553.84	Facility		$275.58	$410.25	$553.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $266.66 / $369.23 / $878.43	Professional		$266.66	$369.23	$878.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $425.40	Facility		$274.27	$274.27	$425.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $233.13 / $274.27	Professional		$233.13	$233.13	$274.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $879.31	Facility		$274.27	$274.27	$879.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $274.27 / $274.27	Professional		$233.13	$274.27	$274.27
United Facility/Professional Professional Modifier Low / Median / High Price $128.31 / $204.67 / $297.32	Professional		$128.31	$204.67	$297.32