Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $488.49 / $749.62	Facility		$225.11	$488.49	$749.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $227.36 / $400.70	Professional		$225.11	$227.36	$400.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.12 / $362.43 / $562.78	Facility		$243.12	$362.43	$562.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $389.80	Professional		$225.11	$225.11	$389.80
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $301.64 / $301.64 / $301.64	Facility		$301.64	$301.64	$301.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $225.11 / $382.69	Facility		$225.11	$225.11	$382.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $303.89	Professional		$225.11	$225.11	$303.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.37 / $212.37 / $225.11	Facility		$212.37	$212.37	$225.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $342.59	Professional		$225.11	$225.11	$342.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $220.59 / $316.95 / $488.82	Facility		$220.59	$316.95	$488.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $342.59	Professional		$225.11	$225.11	$342.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.62 / $281.48 / $326.40	Professional		$247.62	$281.48	$326.40
United Facility/Professional Facility Modifier Low / Median / High Price $224.97 / $224.97 / $224.97	Facility		$224.97	$224.97	$224.97
United Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $243.48	Professional		$225.11	$225.11	$243.48