Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.11 / $245.11 / $245.11	Facility		$245.11	$245.11	$245.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.11 / $250.15 / $458.61	Professional		$245.11	$250.15	$458.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.33 / $573.78 / $918.04	Facility		$416.33	$573.78	$918.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.71 / $465.55 / $780.33	Professional		$395.71	$465.55	$780.33
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $576.12 / $623.94 / $659.54	Professional		$576.12	$623.94	$659.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $378.70 / $659.54	Facility		$45.90	$378.70	$659.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $346.28 / $755.97	Professional		$41.90	$346.28	$755.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $299.44 / $664.20	Facility		$299.44	$299.44	$664.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $299.44 / $526.88	Professional		$254.52	$299.44	$526.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $299.44 / $425.75	Facility		$299.44	$299.44	$425.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $299.44 / $299.44 / $393.01	Professional		$299.44	$299.44	$393.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $437.70 / $547.13 / $789.01	Professional		$437.70	$547.13	$789.01
United Facility/Professional Professional Modifier Low / Median / High Price $167.05 / $300.04 / $459.81	Professional		$167.05	$300.04	$459.81