Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.40 / $205.40 / $205.40	Facility		$205.40	$205.40	$205.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $239.00 / $371.07	Professional		$202.40	$239.00	$371.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.88 / $480.81 / $769.30	Facility		$348.88	$480.81	$769.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.30 / $243.94 / $613.23	Professional		$210.30	$243.94	$613.23
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $393.55 / $402.45 / $422.72	Professional		$393.55	$402.45	$422.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $283.75 / $405.61	Facility		$34.61	$283.75	$405.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $261.58 / $497.14	Professional		$32.70	$261.58	$497.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $376.88	Facility		$267.62	$267.62	$376.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $267.62 / $445.88	Professional		$227.48	$267.62	$445.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $330.59	Facility		$267.62	$267.62	$330.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $230.62 / $267.62 / $330.59	Professional		$230.62	$267.62	$330.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $267.07 / $333.84 / $481.43	Professional		$267.07	$333.84	$481.43
United Facility/Professional Professional Modifier Low / Median / High Price $127.49 / $193.68 / $297.97	Professional		$127.49	$193.68	$297.97