Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.49 / $111.49 / $111.49	Facility		$111.49	$111.49	$111.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.25 / $115.86 / $187.46	Professional		$102.25	$115.86	$187.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.37 / $260.99 / $417.58	Facility		$189.37	$260.99	$417.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $158.97 / $327.23	Professional		$112.22	$158.97	$327.23
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $230.47 / $243.31	Professional		$230.47	$230.47	$243.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $151.44 / $243.31	Facility		$18.23	$151.44	$243.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $151.91 / $279.02	Professional		$17.75	$151.91	$279.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $232.18	Facility		$130.68	$130.68	$232.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $130.68 / $241.50	Professional		$111.08	$130.68	$241.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $171.51	Facility		$130.68	$130.68	$171.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $130.68 / $171.51	Professional		$113.67	$130.68	$171.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.11 / $177.16 / $246.06	Professional		$118.11	$177.16	$246.06
United Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $110.03 / $158.97	Professional		$71.27	$110.03	$158.97