Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.39 / $231.09 / $35,507.68	Facility		$97.39	$231.09	$35,507.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $121.33	Professional		$91.34	$91.34	$121.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.65 / $147.06 / $228.35	Facility		$98.65	$147.06	$228.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $102.75 / $152.79	Professional		$91.34	$102.75	$152.79
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $216.48 / $216.48 / $216.48	Facility		$216.48	$216.48	$216.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $91.34 / $136.53	Facility		$91.02	$91.34	$136.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $91.34 / $146.13	Professional		$91.02	$91.34	$146.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $91.34 / $113.80	Facility		$86.17	$91.34	$113.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $115.89	Professional		$91.34	$91.34	$115.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $88.22 / $152.65 / $282.95	Facility		$88.22	$152.65	$282.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $129.25	Professional		$91.34	$91.34	$129.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $104.67 / $129.61	Professional		$91.02	$104.67	$129.61
United Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $113.20	Professional		$91.34	$91.34	$113.20