Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.57 / $214.57 / $214.57	Facility		$214.57	$214.57	$214.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.57 / $214.57 / $214.57	Professional		$214.57	$214.57	$214.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.93 / $383.95 / $545.90	Facility		$363.93	$383.95	$545.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.71 / $192.89 / $532.60	Professional		$138.71	$192.89	$532.60
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $240.15 / $242.51 / $268.20	Professional		$240.15	$242.51	$268.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.76 / $212.76 / $276.58	Facility		$212.76	$212.76	$276.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $210.00 / $381.23	Facility		$150.00	$210.00	$381.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.58 / $216.00 / $253.00	Professional		$207.58	$216.00	$253.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $210.00 / $1,768.90	Facility		$150.00	$210.00	$1,768.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $226.04 / $448.24	Professional		$206.70	$226.04	$448.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.75 / $203.75 / $356.56	Professional		$203.75	$203.75	$356.56
United Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $202.92 / $274.68	Professional		$130.00	$202.92	$274.68