Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.14 / $169.14 / $570.00	Facility		$169.14	$169.14	$570.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $169.14 / $228.27	Professional		$130.16	$169.14	$228.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.49 / $284.32 / $457.00	Facility		$242.49	$284.32	$457.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.63 / $149.55 / $346.41	Professional		$124.63	$149.55	$346.41
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $266.47 / $266.47 / $266.47	Professional		$266.47	$266.47	$266.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.85 / $266.47 / $359.73	Facility		$199.85	$266.47	$359.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.21 / $266.47 / $570.57	Professional		$173.21	$266.47	$570.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $312.26	Facility		$178.39	$178.39	$312.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $130.22 / $209.38	Professional		$130.22	$130.22	$209.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $178.39 / $178.39	Professional		$130.22	$178.39	$178.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $176.20 / $231.01	Professional		$128.15	$176.20	$231.01
United Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $132.94 / $204.85	Professional		$88.63	$132.94	$204.85