Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.05 / $464.16 / $16,472.06	Facility		$227.05	$464.16	$16,472.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $216.44 / $589.91	Professional		$203.58	$216.44	$589.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.87 / $355.55 / $584.27	Facility		$219.87	$355.55	$584.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $343.23	Professional		$203.58	$203.58	$343.23
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $272.80 / $272.80 / $272.80	Facility		$272.80	$272.80	$272.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $212.20 / $305.83	Facility		$203.58	$212.20	$305.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $212.20 / $274.83	Professional		$203.58	$212.20	$274.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $192.06 / $203.58	Facility		$192.06	$192.06	$203.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $391.58	Professional		$203.58	$203.58	$391.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $203.58 / $635.89	Facility		$192.06	$203.58	$635.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $391.58	Professional		$203.58	$203.58	$391.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.04 / $265.25 / $297.08	Professional		$225.04	$265.25	$297.08
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $226.63 / $286.02	Professional		$203.58	$226.63	$286.02