Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $66.84 / $66.84	Facility		$66.84	$66.84	$66.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $67.59 / $123.92	Professional		$66.84	$67.59	$123.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.54 / $156.47 / $250.36	Facility		$113.54	$156.47	$250.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $128.85 / $269.29	Professional		$103.08	$128.85	$269.29
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $158.36 / $171.59 / $182.54	Professional		$158.36	$171.59	$182.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $103.28 / $182.54	Facility		$12.52	$103.28	$182.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $93.89 / $206.16	Professional		$11.55	$93.89	$206.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $81.62 / $183.83	Facility		$81.62	$81.62	$183.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $81.62 / $147.75	Professional		$69.38	$81.62	$147.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $81.62 / $116.29	Facility		$81.62	$81.62	$116.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $81.62 / $107.13	Professional		$81.62	$81.62	$107.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.14 / $151.43 / $218.37	Professional		$121.14	$151.43	$218.37
United Facility/Professional Professional Modifier Low / Median / High Price $45.78 / $79.00 / $128.85	Professional		$45.78	$79.00	$128.85