Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.52 / $101.18 / $229.94	Facility		$59.52	$101.18	$229.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $66.76 / $117.25	Professional		$49.11	$66.76	$117.25
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 $142.00 / $161.00 / $182.00	Facility		$142.00	$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 $75.09 / $75.09 / $109.84	Professional		$75.09	$75.09	$109.84
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 $100.22 / $183.49 / $424.53	Facility		$100.22	$183.49	$424.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $113.98 / $162.88	Professional		$67.33	$113.98	$162.88
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 $58.68 / $75.75 / $111.10	Professional		$58.68	$75.75	$111.10