Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.83 / $135.83 / $135.83	Facility		$135.83	$135.83	$135.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.07 / $135.83 / $247.63	Professional		$135.07	$135.83	$247.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.71 / $317.95 / $508.74	Facility		$230.71	$317.95	$508.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.08 / $228.79 / $478.18	Professional		$202.08	$228.79	$478.18
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $298.98 / $322.48 / $324.14	Professional		$298.98	$322.48	$324.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $201.81 / $324.14	Facility		$25.01	$201.81	$324.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $190.78 / $400.44	Professional		$21.62	$190.78	$400.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.31 / $166.31 / $326.42	Facility		$166.31	$166.31	$326.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $166.31 / $295.13	Professional		$141.36	$166.31	$295.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $166.31 / $166.31 / $218.29	Facility		$166.31	$166.31	$218.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $166.31 / $166.31 / $218.29	Professional		$166.31	$166.31	$218.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.11 / $268.89 / $387.76	Professional		$215.11	$268.89	$387.76
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.66 / $226.10	Professional		$89.13	$147.66	$226.10