Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.87 / $178.87 / $572.00	Facility		$178.87	$178.87	$572.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.34 / $178.87 / $247.56	Professional		$174.34	$178.87	$247.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.53 / $216.56 / $488.42	Professional		$183.53	$216.56	$488.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.74 / $366.32 / $494.53	Facility		$274.74	$366.32	$494.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $244.73 / $338.86 / $784.36	Professional		$244.73	$338.86	$784.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $228.90 / $441.23	Facility		$228.90	$228.90	$441.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $194.57 / $228.90	Professional		$194.57	$194.57	$228.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $228.90 / $228.90	Facility		$228.90	$228.90	$228.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $228.90 / $228.90	Professional		$194.57	$228.90	$228.90
United Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $182.75 / $275.35	Professional		$121.84	$182.75	$275.35