Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.52 / $150.18 / $248.35	Facility		$59.52	$150.18	$248.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $70.86 / $215.50	Professional		$54.84	$70.86	$215.50
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $89.46 / $89.46 / $89.46	Professional	CQ	$89.46	$89.46	$89.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.75 / $161.00 / $182.00	Facility		$108.75	$161.00	$182.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $78.94 / $134.19	Professional		$58.31	$78.94	$134.19
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $65.72 / $65.72 / $121.11	Facility		$65.72	$65.72	$121.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $75.09 / $122.98	Professional		$65.72	$75.09	$122.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.69 / $103.27 / $139.43	Facility		$93.69	$103.27	$139.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.88 / $112.66 / $213.23	Professional		$93.88	$112.66	$213.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $140.00	Facility		$65.00	$65.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $93.88 / $143.32	Professional		$67.33	$93.88	$143.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $99.61 / $182.59 / $310.81	Facility		$99.61	$182.59	$310.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $113.98 / $157.76	Professional		$67.33	$113.98	$157.76
Medical Mutual of Ohio Facility/Professional Professional Modifier CQ Low / Median / High Price $133.50 / $133.50 / $133.50	Professional	CQ	$133.50	$133.50	$133.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $104.04 / $144.52	Professional		$80.03	$104.04	$144.52
United Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $75.75 / $109.57	Professional		$61.39	$75.75	$109.57