Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $3,390.38 / $14,537.95	Facility		$89.34	$3,390.38	$14,537.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $90.24 / $5,030.39	Professional		$70.66	$90.24	$5,030.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.49 / $156.03 / $256.41	Facility		$96.49	$156.03	$256.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $178.27	Professional		$89.34	$89.34	$178.27
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $119.72 / $119.72 / $119.72	Facility		$119.72	$119.72	$119.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $89.34 / $122.67	Facility		$58.40	$89.34	$122.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $89.34 / $120.61	Professional		$58.40	$89.34	$120.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.11 / $84.29 / $89.34	Facility		$66.11	$84.29	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $858.32	Professional		$89.34	$89.34	$858.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $278.16 / $1,103.30	Facility		$84.29	$278.16	$1,103.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $858.32	Professional		$89.34	$89.34	$858.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $73.00 / $125.07	Professional		$24.97	$73.00	$125.07
United Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Facility		$89.34	$89.34	$89.34
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $95.68 / $110.72	Professional		$89.34	$95.68	$110.72