Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $89.44 / $162.66	Facility		$50.40	$89.44	$162.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $57.51 / $69.01	Professional		$53.40	$57.51	$69.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.27 / $127.79 / $373.82	Facility		$86.27	$127.79	$373.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $64.41 / $95.75	Professional		$57.51	$64.41	$95.75
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $77.06 / $77.06 / $77.06	Facility		$77.06	$77.06	$77.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $57.51 / $86.54	Facility		$57.51	$57.51	$86.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $77.64	Professional		$57.51	$57.51	$77.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $54.25 / $57.51	Facility		$54.25	$54.25	$57.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $72.75	Professional		$57.51	$57.51	$72.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $46.28 / $67.75 / $85.00	Facility		$46.28	$67.75	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $81.38	Professional		$57.51	$57.51	$81.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $63.26 / $74.76	Professional		$53.40	$63.26	$74.76
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $65.45	Professional		$57.51	$57.51	$65.45