Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.17 / $151.80 / $563.00	Facility		$70.17	$151.80	$563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $68.89 / $151.80	Professional		$60.00	$68.89	$151.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $140.40 / $390.00	Facility		$90.00	$140.40	$390.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $101.16	Professional		$60.00	$60.00	$101.16
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $80.40 / $80.40 / $80.40	Facility		$80.40	$80.40	$80.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $102.00	Facility		$60.00	$60.00	$102.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $81.00	Professional		$60.00	$60.00	$81.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.61 / $56.61 / $60.00	Facility		$56.61	$56.61	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $135.13	Professional		$60.00	$60.00	$135.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $190.86 / $391.40	Facility		$81.90	$190.86	$391.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $135.13	Professional		$60.00	$60.00	$135.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $106.77 / $135.89	Professional		$75.00	$106.77	$135.89
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $78.12	Professional		$60.00	$60.00	$78.12