Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $501.19 / $66,069.34	Facility		$269.15	$501.19	$66,069.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $389.05	Professional		$269.15	$269.15	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $467.74 / $954.99	Facility		$288.40	$467.74	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $302.00 / $457.09	Professional		$269.15	$302.00	$457.09
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $346.74	Professional		$257.04	$257.04	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $371.54	Facility		$251.19	$251.19	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $338.84	Professional		$269.15	$269.15	$338.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $269.15 / $537.03	Facility		$251.19	$269.15	$537.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $380.19	Professional		$269.15	$269.15	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $371.54	Professional		$257.04	$295.12	$371.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $512.86	Professional		$251.19	$302.00	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $269.15 / $269.15	Facility		$257.04	$269.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $269.15 / $302.00	Professional		$251.19	$269.15	$302.00