Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.00 / $472.70 / $1,530.00	Facility		$163.00	$472.70	$1,530.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $219.86 / $412.24	Professional		$175.00	$219.86	$412.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.67 / $296.82 / $486.37	Facility		$242.67	$296.82	$486.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $137.41 / $439.86	Professional		$109.93	$137.41	$439.86
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $173.14 / $173.14 / $173.14	Facility		$173.14	$173.14	$173.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $316.05 / $412.25	Facility		$274.83	$316.05	$412.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $357.28 / $601.15	Professional		$274.83	$357.28	$601.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.79 / $346.56 / $1,771.54	Facility		$282.79	$346.56	$1,771.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $176.34 / $598.46	Professional		$125.81	$176.34	$598.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $282.79 / $346.56 / $1,771.54	Facility		$282.79	$346.56	$1,771.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $176.34 / $598.46	Professional		$125.81	$176.34	$598.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.42 / $247.34 / $340.09	Professional		$216.42	$247.34	$340.09
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $443.30	Professional		$115.43	$164.90	$443.30