Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.44 / $183.44 / $841.00	Facility		$183.44	$183.44	$841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.79 / $183.44 / $307.05	Professional		$178.79	$183.44	$307.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.22 / $204.67 / $488.37	Professional		$188.22	$204.67	$488.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.75 / $375.67 / $507.15	Facility		$281.75	$375.67	$507.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $244.19 / $338.10 / $804.38	Professional		$244.19	$338.10	$804.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $422.20	Facility		$302.83	$302.83	$422.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $257.41 / $302.83	Professional		$257.41	$257.41	$302.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $302.83	Facility		$302.83	$302.83	$302.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $302.83 / $302.83	Professional		$257.41	$302.83	$302.83
United Facility/Professional Facility Modifier Low / Median / High Price $153.66 / $237.49 / $261.98	Facility		$153.66	$237.49	$261.98
United Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $187.42 / $261.98	Professional		$124.95	$187.42	$261.98