Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $281.84	Professional		$63.10	$87.10	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $181.97	Professional		$41.69	$66.07	$181.97
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $165.96	Professional		$53.70	$72.44	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $89.13 / $107.15	Facility		$61.66	$89.13	$107.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $218.78	Professional		$91.20	$109.65	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $173.78 / $177.83	Facility		$158.49	$173.78	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $81.28 / $144.54	Professional		$38.90	$81.28	$144.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $89.13 / $173.78	Professional		$38.90	$89.13	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $208.93	Professional		$69.18	$112.20	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $144.54	Professional		$48.98	$85.11	$144.54