Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.75 / $258.52 / $517.05	Facility		$116.75	$258.52	$517.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.94 / $114.45 / $333.42	Professional		$98.94	$114.45	$333.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.21 / $133.57 / $218.88	Facility		$109.21	$133.57	$218.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $76.34 / $197.85	Professional		$61.08	$76.34	$197.85
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $77.92 / $77.92 / $77.92	Facility		$77.92	$77.92	$77.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $160.78 / $204.07	Facility		$123.68	$160.78	$204.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.78 / $166.97 / $296.83	Professional		$160.78	$166.97	$296.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.26 / $140.68 / $705.82	Facility		$127.26	$140.68	$705.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $95.10 / $298.83	Professional		$62.91	$95.10	$298.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $106.15 / $140.68 / $705.82	Facility		$106.15	$140.68	$705.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $77.92 / $298.83	Professional		$62.91	$77.92	$298.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $111.31 / $153.05	Professional		$97.39	$111.31	$153.05
United Facility/Professional Facility Modifier Low / Median / High Price $44.52 / $44.52 / $111.31	Facility		$44.52	$44.52	$111.31
United Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $74.20 / $180.20	Professional		$51.95	$74.20	$180.20