Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $442.04 / $1,126.90	Facility		$131.16	$442.04	$1,126.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $131.16 / $352.99	Professional		$114.77	$131.16	$352.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.78 / $177.08 / $290.16	Facility		$144.78	$177.08	$290.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $97.16 / $236.10	Professional		$68.81	$97.16	$236.10
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $103.29 / $103.29 / $103.29	Facility		$103.29	$103.29	$103.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $213.15 / $270.52	Facility		$163.96	$213.15	$270.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.15 / $221.35 / $393.50	Professional		$213.15	$221.35	$393.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.70 / $238.73 / $1,360.52	Facility		$168.70	$238.73	$1,360.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $126.07 / $396.89	Professional		$83.38	$126.07	$396.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $146.32 / $297.11 / $1,054.98	Facility		$146.32	$297.11	$1,054.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $103.29 / $396.89	Professional		$83.38	$103.29	$396.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $147.56 / $202.90	Professional		$129.11	$147.56	$202.90
United Facility/Professional Facility Modifier Low / Median / High Price $196.75 / $196.75 / $196.75	Facility		$196.75	$196.75	$196.75
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $98.38 / $223.69	Professional		$68.86	$98.38	$223.69