Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.60 / $367.95 / $712.87	Facility		$154.60	$367.95	$712.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $154.60 / $278.98	Professional		$135.28	$154.60	$278.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.64 / $208.71 / $341.99	Facility		$170.64	$208.71	$341.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $94.30 / $288.95	Professional		$77.30	$94.30	$288.95
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $121.75 / $121.75 / $121.75	Facility		$121.75	$121.75	$121.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $241.56 / $289.88	Facility		$193.25	$241.56	$289.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.23 / $260.89 / $463.80	Professional		$251.23	$260.89	$463.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.84 / $219.82 / $1,102.85	Facility		$198.84	$219.82	$1,102.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $143.63 / $374.11	Professional		$88.25	$143.63	$374.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $198.84 / $219.82 / $1,102.85	Facility		$198.84	$219.82	$1,102.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $143.63 / $374.11	Professional		$88.25	$143.63	$374.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $173.92 / $239.15	Professional		$152.18	$173.92	$239.15
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $281.57	Professional		$81.17	$115.95	$281.57