Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.67 / $225.67 / $225.67	Facility		$225.67	$225.67	$225.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.67 / $229.56 / $420.86	Professional		$225.67	$229.56	$420.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $383.32 / $528.28 / $845.24	Facility		$383.32	$528.28	$845.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.24 / $384.50 / $652.69	Professional		$355.24	$384.50	$652.69
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $502.18 / $541.66 / $544.69	Professional		$502.18	$541.66	$544.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.15 / $339.06 / $544.69	Facility		$42.15	$339.06	$544.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $316.97 / $672.78	Professional		$35.92	$316.97	$672.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.51 / $277.51 / $548.53	Facility		$277.51	$277.51	$548.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.88 / $277.51 / $492.00	Professional		$235.88	$277.51	$492.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $277.51 / $277.51 / $371.51	Facility		$277.51	$277.51	$371.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $277.51 / $364.23	Professional		$277.51	$277.51	$364.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $361.48 / $451.86 / $651.62	Professional		$361.48	$451.86	$651.62
United Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $245.26 / $371.50	Professional		$148.60	$245.26	$371.50