Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.93 / $49.93 / $49.93	Facility		$49.93	$49.93	$49.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.93 / $52.00 / $88.73	Professional		$49.93	$52.00	$88.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.80 / $116.88 / $187.00	Facility		$84.80	$116.88	$187.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $95.40 / $158.94	Professional		$78.52	$95.40	$158.94
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $127.36 / $135.07	Professional		$117.56	$127.36	$135.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.28 / $77.61 / $135.07	Facility		$9.28	$77.61	$135.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $73.64 / $168.31	Professional		$8.42	$73.64	$168.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $112.10	Facility		$60.80	$60.80	$112.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $60.80 / $105.00	Professional		$51.68	$60.80	$105.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $83.92	Facility		$60.80	$60.80	$83.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $60.80 / $79.81	Professional		$60.80	$60.80	$79.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.22 / $118.83 / $165.05	Professional		$79.22	$118.83	$165.05
United Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $57.46 / $89.74	Professional		$34.09	$57.46	$89.74