Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.37 / $308.08 / $401.48	Facility		$106.37	$308.08	$401.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.28 / $116.16 / $287.81	Professional		$104.28	$116.16	$287.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.10 / $140.78 / $230.68	Facility		$115.10	$140.78	$230.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $80.45 / $190.31	Professional		$64.37	$80.45	$190.31
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $82.12 / $82.12 / $82.12	Facility		$82.12	$82.12	$82.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $162.94 / $195.53	Facility		$130.35	$162.94	$195.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.46 / $175.97 / $312.83	Professional		$169.46	$175.97	$312.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $148.28 / $743.93	Facility		$134.13	$148.28	$743.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $117.45 / $252.76	Professional		$66.20	$117.45	$252.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $164.38 / $743.93	Facility		$134.13	$164.38	$743.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $117.45 / $308.64	Professional		$66.20	$117.45	$308.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $117.31 / $161.30	Professional		$102.64	$117.31	$161.30
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $78.20 / $189.92	Professional		$54.75	$78.20	$189.92