Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.87 / $319.80 / $995.40	Facility		$115.87	$319.80	$995.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $115.87 / $390.48	Professional		$104.70	$115.87	$390.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.89 / $156.43 / $256.32	Facility		$127.89	$156.43	$256.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $85.82 / $208.55	Professional		$60.88	$85.82	$208.55
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $91.25 / $91.25 / $91.25	Facility		$91.25	$91.25	$91.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $188.29 / $238.99	Facility		$144.84	$188.29	$238.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.29 / $195.53 / $347.62	Professional		$188.29	$195.53	$347.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.04 / $211.03 / $826.64	Facility		$149.04	$211.03	$826.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.64 / $111.36 / $350.61	Professional		$73.64	$111.36	$350.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $129.27 / $211.03 / $826.64	Facility		$129.27	$211.03	$826.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.64 / $91.26 / $350.61	Professional		$73.64	$91.26	$350.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.06 / $130.35 / $179.23	Professional		$114.06	$130.35	$179.23
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $86.90 / $211.03	Professional		$60.83	$86.90	$211.03