Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $155.37 / $228.92	Facility		$76.33	$155.37	$228.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $76.45 / $155.19	Professional		$59.46	$76.45	$155.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $80.28 / $131.54	Facility		$65.63	$80.28	$131.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $44.90 / $180.04	Professional		$35.92	$44.90	$180.04
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $46.83 / $46.83 / $46.83	Facility		$46.83	$46.83	$46.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $85.48 / $111.50	Facility		$74.33	$85.48	$111.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $96.63 / $162.66	Professional		$74.33	$96.63	$162.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.47 / $108.28 / $424.16	Facility		$76.47	$108.28	$424.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $55.94 / $175.70	Professional		$36.97	$55.94	$175.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $66.33 / $108.28 / $424.16	Facility		$66.33	$108.28	$424.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $45.79 / $175.70	Professional		$36.97	$45.79	$175.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.53 / $66.90 / $91.98	Professional		$58.53	$66.90	$91.98
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $44.60 / $106.40	Professional		$31.22	$44.60	$106.40