Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.65 / $339.65 / $418.46	Facility		$142.65	$339.65	$418.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $98.95 / $186.57	Professional		$72.01	$98.95	$186.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.96 / $149.44 / $240.43	Facility		$119.96	$149.44	$240.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $67.09 / $146.72	Professional		$53.69	$67.09	$146.72
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $108.69 / $108.69	Professional		$108.69	$108.69	$108.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $135.86 / $183.41	Facility		$86.99	$135.86	$183.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.48 / $176.62 / $183.41	Professional		$115.48	$176.62	$183.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $139.88 / $515.13	Facility		$88.31	$139.88	$515.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $109.02 / $197.76	Professional		$69.02	$109.02	$197.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $139.88 / $515.13	Facility		$88.31	$139.88	$515.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $88.31 / $182.43	Professional		$69.02	$88.31	$182.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $112.09 / $163.04	Professional		$74.72	$112.09	$163.04
United Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $81.52 / $177.98	Professional		$40.86	$81.52	$177.98