Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.00 / $440.30 / $799.00	Facility		$259.00	$440.30	$799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.87 / $259.00 / $872.83	Professional		$161.87	$259.00	$872.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.87 / $356.13 / $572.94	Facility		$285.87	$356.13	$572.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $129.50 / $302.12	Professional		$129.50	$129.50	$302.12
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $259.00 / $259.00 / $259.00	Professional		$259.00	$259.00	$259.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.81 / $339.94 / $437.06	Facility		$242.81	$339.94	$437.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.44 / $324.47 / $533.19	Professional		$210.44	$324.47	$533.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.44 / $333.34 / $1,104.81	Facility		$210.44	$333.34	$1,104.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $148.40 / $465.14	Professional		$80.90	$148.40	$465.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $189.21 / $333.34 / $1,014.84	Facility		$189.21	$333.34	$1,014.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $148.10 / $212.72	Professional		$80.90	$148.10	$212.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.81 / $267.09 / $388.49	Professional		$242.81	$267.09	$388.49
United Facility/Professional Facility Modifier Low / Median / High Price $116.55 / $116.55 / $291.38	Facility		$116.55	$116.55	$291.38
United Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $161.88 / $388.50	Professional		$73.25	$161.88	$388.50