Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $218.93 / $448.67	Facility		$99.25	$218.93	$448.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $97.30 / $175.58	Professional		$79.06	$97.30	$175.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.40 / $131.36 / $215.25	Facility		$107.40	$131.36	$215.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $72.06 / $168.70	Professional		$60.06	$72.06	$168.70
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $76.63 / $76.63 / $76.63	Facility		$76.63	$76.63	$76.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.63 / $152.04 / $182.45	Facility		$121.63	$152.04	$182.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.12 / $164.20 / $291.91	Professional		$158.12	$164.20	$291.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $138.36 / $694.15	Facility		$125.15	$138.36	$694.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $106.45 / $235.33	Professional		$61.75	$106.45	$235.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $153.38 / $694.15	Facility		$125.15	$153.38	$694.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $109.60 / $294.13	Professional		$61.75	$109.60	$294.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $109.46 / $150.51	Professional		$95.78	$109.46	$150.51
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $72.98 / $165.92	Professional		$51.08	$72.98	$165.92