Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $411.24 / $626.62	Facility		$142.63	$411.24	$626.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $142.63 / $360.00	Professional		$92.71	$142.63	$360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $66.17 / $130.29	Professional		$57.05	$66.17	$130.29
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $89.86 / $89.86 / $89.86	Facility		$89.86	$89.86	$89.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $185.42 / $242.47	Facility		$142.63	$185.42	$242.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $185.42 / $311.88	Professional		$142.63	$185.42	$311.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.24 / $179.86 / $961.60	Facility		$162.24	$179.86	$961.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $142.63 / $214.92	Professional		$71.98	$142.63	$214.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $122.04 / $202.66 / $393.06	Facility		$122.04	$202.66	$393.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $123.46 / $211.37	Professional		$71.98	$123.46	$211.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $128.36 / $176.50	Professional		$112.31	$128.36	$176.50
United Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $145.30 / $194.23	Professional		$87.18	$145.30	$194.23