Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $648.74 / $1,191.01	Facility		$416.78	$648.74	$1,191.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $1,081.59	Professional		$416.78	$416.78	$1,081.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $196.71 / $541.80	Professional		$141.69	$196.71	$541.80
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $262.57 / $262.57 / $262.57	Facility		$262.57	$262.57	$262.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $562.65 / $7,258.71	Facility		$416.78	$562.65	$7,258.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $562.65 / $7,984.58	Professional		$416.78	$562.65	$7,984.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.09 / $525.57 / $2,809.91	Facility		$474.09	$525.57	$2,809.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $2,345.28	Professional		$416.78	$416.78	$2,345.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $200.37 / $504.29 / $1,166.42	Facility		$200.37	$504.29	$1,166.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $519.75	Professional		$416.78	$416.78	$519.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $328.21 / $375.10 / $453.25	Professional		$328.21	$375.10	$453.25
United Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $231.70 / $555.70	Professional		$160.19	$231.70	$555.70