Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.59 / $222.59 / $271.55	Facility		$222.59	$222.59	$271.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.59 / $222.59 / $251.70	Professional		$222.59	$222.59	$251.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.29 / $614.32 / $873.44	Facility		$582.29	$614.32	$873.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.14 / $308.62 / $852.14	Professional		$211.14	$308.62	$852.14
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $370.18 / $388.01 / $429.14	Professional		$370.18	$388.01	$429.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.71 / $220.71 / $286.92	Facility		$220.71	$220.71	$286.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $275.00 / $609.96	Facility		$210.00	$275.00	$609.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.13 / $337.00 / $345.00	Professional		$332.13	$337.00	$345.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $275.00 / $609.96	Facility		$210.00	$275.00	$609.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $316.61 / $332.13 / $333.54	Professional		$316.61	$332.13	$333.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $244.00 / $427.00	Professional		$244.00	$244.00	$427.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.03 / $366.00 / $439.49	Professional		$252.03	$366.00	$439.49