Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.60 / $300.30 / $888.00	Facility		$109.60	$300.30	$888.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $109.60 / $333.94	Professional		$45.00	$109.60	$333.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.97 / $147.96 / $242.45	Facility		$120.97	$147.96	$242.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $64.00 / $178.10	Professional		$52.54	$64.00	$178.10
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $86.31 / $86.31	Facility		$86.31	$86.31	$86.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $157.55 / $205.50	Facility		$137.00	$157.55	$205.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $178.10 / $299.86	Professional		$137.00	$178.10	$299.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.34 / $172.76 / $2,436.31	Facility		$131.34	$172.76	$2,436.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $73.67 / $298.06	Professional		$62.74	$73.67	$298.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $122.27 / $155.84 / $923.64	Facility		$122.27	$155.84	$923.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $73.67 / $298.06	Professional		$62.74	$73.67	$298.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.88 / $123.30 / $169.53	Professional		$107.88	$123.30	$169.53
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $180.94	Professional		$57.54	$82.20	$180.94