Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.26 / $263.26 / $628.00	Facility		$263.26	$263.26	$628.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.28 / $263.26 / $307.91	Professional		$198.28	$263.26	$307.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.86 / $270.12 / $700.90	Professional		$242.86	$270.12	$700.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $343.71 / $539.16 / $727.87	Facility		$343.71	$539.16	$727.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $350.45 / $485.24 / $1,154.45	Professional		$350.45	$485.24	$1,154.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $481.59	Facility		$252.68	$252.68	$481.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $194.10 / $331.71	Professional		$194.10	$194.10	$331.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $252.68	Facility		$252.68	$252.68	$252.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $252.68 / $252.68	Professional		$194.10	$252.68	$252.68
United Facility/Professional Professional Modifier Low / Median / High Price $168.11 / $268.98 / $342.24	Professional		$168.11	$268.98	$342.24