Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.07 / $240.07 / $240.07	Facility		$240.07	$240.07	$240.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $243.88 / $402.11	Professional		$208.71	$243.88	$402.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $343.76 / $811.46	Professional		$278.27	$343.76	$811.46
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $572.08 / $572.08 / $648.02	Professional		$572.08	$572.08	$648.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.96 / $381.19 / $648.02	Facility		$44.96	$381.19	$648.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $371.62 / $686.14	Professional		$43.34	$371.62	$686.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $310.87 / $560.41	Facility		$310.87	$310.87	$560.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.24 / $310.87 / $543.75	Professional		$264.24	$310.87	$543.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $310.87 / $417.10	Facility		$310.87	$310.87	$417.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $310.87 / $408.02	Professional		$30.56	$310.87	$408.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $370.65 / $463.32 / $668.15	Professional		$370.65	$463.32	$668.15
United Facility/Professional Professional Modifier Low / Median / High Price $163.78 / $279.58 / $409.49	Professional		$163.78	$279.58	$409.49