Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.08 / $398.15 / $49,567.77	Facility		$187.08	$398.15	$49,567.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $183.48 / $234.77	Professional		$183.47	$183.48	$234.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.16 / $295.39 / $458.70	Facility		$198.16	$295.39	$458.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $205.49 / $306.45	Professional		$183.48	$205.49	$306.45
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $434.85 / $434.85 / $434.85	Facility		$434.85	$434.85	$434.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $183.48 / $275.12	Facility		$183.41	$183.48	$275.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $183.48 / $293.57	Professional		$183.41	$183.48	$293.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $180.05 / $183.48	Facility		$173.09	$180.05	$183.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $233.17	Professional		$183.48	$183.48	$233.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $183.48 / $514.55	Facility		$173.09	$183.48	$514.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $259.64	Professional		$183.48	$183.48	$259.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $210.92 / $261.31	Professional		$183.41	$210.92	$261.31
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $194.49 / $224.60	Professional		$183.48	$194.49	$224.60