Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.38 / $454.38 / $454.38	Facility		$454.38	$454.38	$454.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $120.97 / $177.03	Professional		$118.02	$120.97	$177.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $107.23 / $243.71	Professional		$83.58	$107.23	$243.71
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $118.75 / $118.75	Professional		$118.75	$118.75	$118.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.39 / $169.65 / $228.66	Facility		$125.39	$169.65	$228.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.78 / $199.15 / $354.05	Professional		$191.78	$199.15	$354.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.68 / $310.68 / $310.68	Facility		$310.68	$310.68	$310.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $154.53 / $349.72	Professional		$74.95	$154.53	$349.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $310.68 / $310.68 / $310.68	Facility		$310.68	$310.68	$310.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $152.72 / $349.72	Professional		$74.95	$152.72	$349.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $121.70 / $143.83	Professional		$110.64	$121.70	$143.83
United Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $147.52 / $272.73	Professional		$88.51	$147.52	$272.73