Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.02 / $150.06 / $392.18	Facility		$78.02	$150.06	$392.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $63.02 / $212.37	Professional		$33.14	$63.02	$212.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $86.65 / $139.40	Facility		$69.55	$86.65	$139.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $31.51 / $75.93	Professional		$19.05	$31.51	$75.93
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $63.02 / $63.02	Professional		$63.02	$63.02	$63.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.08 / $82.71 / $106.34	Facility		$59.08	$82.71	$106.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $79.09 / $129.72	Professional		$51.20	$79.09	$129.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $81.09 / $165.89	Facility		$38.79	$81.09	$165.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $41.08 / $106.35	Professional		$26.57	$41.08	$106.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $51.20 / $99.23 / $237.77	Facility		$51.20	$99.23	$237.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $35.99 / $51.20	Professional		$18.14	$35.99	$51.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $70.89 / $97.48	Professional		$59.08	$70.89	$97.48
United Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $33.08 / $103.19	Professional		$16.88	$33.08	$103.19