Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $141.25 / $18,620.87	Facility		$70.79	$141.25	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $93.33	Professional		$70.79	$70.79	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $251.19	Facility		$75.86	$114.82	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $120.23	Professional		$70.79	$79.43	$120.23
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $95.50	Professional		$70.79	$70.79	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $102.33	Facility		$66.07	$66.07	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $93.33	Professional		$70.79	$70.79	$93.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $70.79 / $95.50	Facility		$66.07	$70.79	$95.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $100.00	Professional		$70.79	$70.79	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $102.33	Professional		$70.79	$77.62	$102.33
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $134.90	Professional		$70.79	$79.43	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $79.43	Professional		$67.61	$70.79	$79.43