Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.99 / $179.20 / $337.14	Facility		$82.99	$179.20	$337.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $104.53 / $285.00	Professional		$82.57	$104.53	$285.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.87 / $193.24 / $536.77	Facility		$123.87	$193.24	$536.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $148.16	Professional		$82.58	$82.58	$148.16
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $110.66 / $110.66 / $110.66	Facility		$110.66	$110.66	$110.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.42 / $82.58 / $123.98	Facility		$82.42	$82.58	$123.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $82.58 / $111.48	Professional		$82.42	$82.58	$111.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $77.90 / $82.57	Facility		$77.90	$77.90	$82.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $132.93	Professional		$82.57	$82.57	$132.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $111.44 / $377.85	Facility		$77.90	$111.44	$377.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $132.93	Professional		$82.57	$82.57	$132.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $103.22 / $119.50	Professional		$90.66	$103.22	$119.50
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $108.18	Professional		$82.58	$82.58	$108.18