Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.89 / $186.99 / $355.10	Facility		$76.89	$186.99	$355.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $58.70 / $197.81	Professional		$52.64	$58.70	$197.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $79.23 / $129.84	Facility		$64.79	$79.23	$129.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $38.02 / $95.38	Professional		$30.18	$38.02	$95.38
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $46.22 / $46.22 / $46.22	Facility		$46.22	$46.22	$46.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $84.38 / $110.06	Facility		$73.37	$84.38	$110.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $95.38 / $160.54	Professional		$73.37	$95.38	$160.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $106.77 / $418.72	Facility		$75.48	$106.77	$418.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $46.99 / $160.01	Professional		$33.52	$46.99	$160.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $110.94 / $418.72	Facility		$75.48	$110.94	$418.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $39.57 / $160.01	Professional		$33.52	$39.57	$160.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $66.03 / $90.79	Professional		$57.78	$66.03	$90.79
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $44.02 / $96.90	Professional		$30.82	$44.02	$96.90