Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.52 / $308.94 / $396.47	Facility		$121.52	$308.94	$396.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $102.98 / $347.04	Professional		$68.23	$102.98	$347.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.67 / $139.03 / $227.81	Facility		$113.67	$139.03	$227.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $75.01 / $185.37	Professional		$63.57	$75.01	$185.37
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $81.09 / $81.09 / $81.09	Facility		$81.09	$81.09	$81.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $160.91 / $193.10	Facility		$128.72	$160.91	$193.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.35 / $173.79 / $308.95	Professional		$167.35	$173.79	$308.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.44 / $187.36 / $734.62	Facility		$132.44	$187.36	$734.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $112.77 / $258.39	Professional		$65.38	$112.77	$258.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $132.44 / $216.45 / $734.62	Facility		$132.44	$216.45	$734.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $115.88 / $304.91	Professional		$65.38	$115.88	$304.91
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $77.23 / $181.14	Professional		$54.07	$77.23	$181.14