Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.08 / $320.63 / $786.60	Facility		$98.08	$320.63	$786.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $74.80 / $247.12	Professional		$62.33	$74.80	$247.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.94 / $98.99 / $162.21	Facility		$80.94	$98.99	$162.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $54.32 / $132.00	Professional		$43.83	$54.32	$132.00
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $57.75 / $57.75	Facility		$57.75	$57.75	$57.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $114.58 / $142.07	Facility		$91.66	$114.58	$142.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.16 / $123.74 / $219.98	Professional		$119.16	$123.74	$219.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.32 / $133.47 / $634.17	Facility		$94.32	$133.47	$634.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $70.48 / $221.97	Professional		$46.56	$70.48	$221.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $94.32 / $133.47 / $617.97	Facility		$94.32	$133.47	$617.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $70.48 / $221.97	Professional		$46.56	$70.48	$221.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $82.50 / $113.43	Professional		$72.18	$82.50	$113.43
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $55.00 / $125.06	Professional		$38.50	$55.00	$125.06