Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $371.54 / $50,118.72	Facility		$190.55	$371.54	$50,118.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $302.00	Professional		$186.21	$186.21	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $302.00 / $660.69	Facility		$204.17	$302.00	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $316.23	Professional		$186.21	$208.93	$316.23
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $275.42	Facility		$181.97	$181.97	$275.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $426.58	Professional		$181.97	$181.97	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $269.15	Facility		$177.83	$177.83	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $239.88	Professional		$186.21	$186.21	$239.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $245.47 / $562.34	Facility		$177.83	$245.47	$562.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $263.03	Professional		$186.21	$186.21	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $263.03	Professional		$181.97	$204.17	$263.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $354.81	Professional		$186.21	$208.93	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $186.21 / $186.21	Facility		$181.97	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $186.21 / $208.93	Professional		$177.83	$186.21	$208.93