Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.91 / $288.82 / $523.29	Facility		$135.91	$288.82	$523.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $135.91 / $233.32	Professional		$90.10	$135.91	$233.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.02 / $183.49 / $300.67	Facility		$150.02	$183.49	$300.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $88.34 / $271.92	Professional		$67.95	$88.34	$271.92
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $107.04 / $107.04 / $107.04	Facility		$107.04	$107.04	$107.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.90 / $195.39 / $254.85	Facility		$169.90	$195.39	$254.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $220.87 / $371.30	Professional		$169.90	$220.87	$371.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.41 / $193.27 / $969.66	Facility		$171.41	$193.27	$969.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $91.35 / $354.49	Professional		$59.52	$91.35	$354.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $171.41 / $193.27 / $969.66	Facility		$171.41	$193.27	$969.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $91.35 / $354.49	Professional		$59.52	$91.35	$354.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.80 / $152.91 / $210.25	Professional		$133.80	$152.91	$210.25
United Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $101.94 / $224.39	Professional		$54.19	$101.94	$224.39