Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.87 / $200.87 / $200.87	Facility		$200.87	$200.87	$200.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.85 / $200.87 / $360.90	Professional		$196.85	$200.87	$360.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.19 / $470.21 / $752.34	Facility		$341.19	$470.21	$752.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.26 / $334.10 / $567.13	Professional		$296.26	$334.10	$567.13
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $438.14 / $472.46 / $473.32	Professional		$438.14	$472.46	$473.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $296.24 / $473.32	Facility		$37.27	$296.24	$473.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $282.13 / $584.63	Professional		$31.98	$282.13	$584.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.17 / $243.17 / $476.64	Facility		$243.17	$243.17	$476.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $243.17 / $436.13	Professional		$206.69	$243.17	$436.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $243.17 / $243.17 / $319.16	Facility		$243.17	$243.17	$319.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $233.20 / $243.17 / $292.92	Professional		$233.20	$243.17	$292.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $314.10 / $392.63 / $566.21	Professional		$314.10	$392.63	$566.21
United Facility/Professional Professional Modifier Low / Median / High Price $131.31 / $213.97 / $328.27	Professional		$131.31	$213.97	$328.27