Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $140.22 / $215.19	Facility		$64.62	$140.22	$215.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $75.05 / $201.35	Professional		$64.62	$75.05	$201.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.93 / $151.21 / $420.03	Facility		$96.93	$151.21	$420.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $108.94	Professional		$64.62	$64.62	$108.94
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $86.59 / $86.59 / $86.59	Facility		$86.59	$86.59	$86.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $109.85	Facility		$64.62	$64.62	$109.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $87.24	Professional		$64.62	$64.62	$87.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $60.96 / $64.62	Facility		$60.96	$60.96	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $135.66	Professional		$64.62	$64.62	$135.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $49.39 / $49.39 / $49.39	Facility		$49.39	$49.39	$49.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $135.66	Professional		$64.62	$64.62	$135.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $90.46 / $105.07	Professional		$72.55	$90.46	$105.07
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $84.65	Professional		$64.62	$64.62	$84.65