Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.67 / $300.66 / $597.55	Facility		$122.67	$300.66	$597.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $120.26 / $180.39	Professional		$105.23	$120.26	$180.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.74 / $162.36 / $266.04	Facility		$132.74	$162.36	$266.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $72.75 / $208.50	Professional		$60.13	$72.75	$208.50
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $94.71 / $94.71 / $94.71	Facility		$94.71	$94.71	$94.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $187.91 / $225.50	Facility		$150.33	$187.91	$225.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.43 / $202.95 / $360.79	Professional		$195.43	$202.95	$360.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.16 / $154.77 / $857.89	Facility		$134.16	$154.77	$857.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $115.11 / $290.98	Professional		$68.65	$115.11	$290.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $134.16 / $154.77 / $857.89	Facility		$134.16	$154.77	$857.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $84.18 / $290.98	Professional		$68.65	$84.18	$290.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $129.66 / $163.48	Professional		$60.00	$129.66	$163.48
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $90.20 / $198.54	Professional		$63.14	$90.20	$198.54