Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $240.24 / $567.00	Facility		$95.31	$240.24	$567.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $76.58 / $122.85	Professional		$68.08	$76.58	$122.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.14 / $91.91 / $150.60	Facility		$75.14	$91.91	$150.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $50.42 / $122.53	Professional		$40.25	$50.42	$122.53
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $53.61 / $53.61	Facility		$53.61	$53.61	$53.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $97.87 / $127.65	Facility		$85.10	$97.87	$127.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $110.63 / $186.00	Professional		$85.10	$110.63	$186.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $107.32 / $485.71	Facility		$87.57	$107.32	$485.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $76.63 / $164.93	Professional		$43.26	$76.63	$164.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $161.03 / $387.02	Facility		$75.95	$161.03	$387.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $84.07 / $205.50	Professional		$43.26	$84.07	$205.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $76.59 / $105.31	Professional		$67.02	$76.59	$105.31
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $51.06 / $123.99	Professional		$35.74	$51.06	$123.99