Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $316.23 / $10,471.29	Facility		$186.21	$316.23	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $245.47	Professional		$186.21	$186.21	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $346.74 / $1,202.26	Facility		$204.17	$346.74	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $323.59	Professional		$186.21	$204.17	$323.59
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $186.21	Facility		$177.83	$177.83	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $245.47	Professional		$186.21	$186.21	$245.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $416.87	Facility		$177.83	$177.83	$416.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $245.47	Professional		$186.21	$186.21	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $263.03	Professional		$173.78	$213.80	$263.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $457.09	Professional		$199.53	$331.13	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $186.21 / $186.21	Facility		$173.78	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $186.21 / $204.17	Professional		$177.83	$186.21	$204.17