Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $122.03 / $202.40	Professional		$103.50	$122.03	$202.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.42 / $151.62 / $232.54	Professional		$115.42	$151.62	$232.54
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $161.38 / $161.38	Professional		$161.38	$161.38	$161.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.07 / $125.69 / $184.38	Facility		$107.07	$125.69	$184.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $148.13 / $173.80	Professional		$136.55	$148.13	$173.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $1,200.00	Facility		$152.16	$152.16	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.14 / $163.99 / $268.37	Professional		$124.14	$163.99	$268.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $1,200.00	Facility		$152.16	$152.16	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $167.96 / $268.37	Professional		$124.65	$167.96	$268.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $149.90 / $208.79	Professional		$108.46	$149.90	$208.79
United Facility/Professional Professional Modifier Low / Median / High Price $111.27 / $154.25 / $240.50	Professional		$111.27	$154.25	$240.50