Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.68 / $133.68 / $133.68	Facility		$133.68	$133.68	$133.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $133.68 / $295.60	Professional		$133.24	$133.68	$295.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.06 / $312.93 / $500.68	Facility		$227.06	$312.93	$500.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.41 / $246.40 / $418.23	Professional		$209.41	$246.40	$418.23
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $307.07 / $332.38 / $349.05	Professional		$307.07	$332.38	$349.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.03 / $206.54 / $349.05	Facility		$25.03	$206.54	$349.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $187.76 / $410.44	Professional		$22.65	$187.76	$410.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $351.50	Facility		$160.96	$160.96	$351.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $160.96 / $274.23	Professional		$136.82	$160.96	$274.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $226.01	Facility		$160.96	$160.96	$226.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $160.96 / $197.85	Professional		$160.96	$160.96	$197.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.64 / $289.55 / $417.56	Professional		$231.64	$289.55	$417.56
United Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $150.07 / $243.47	Professional		$90.22	$150.07	$243.47