Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $185.90 / $13,224.91	Facility		$76.95	$185.90	$13,224.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.45 / $99.24	Professional		$74.36	$74.45	$99.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.31 / $119.72 / $185.90	Facility		$80.31	$119.72	$185.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $84.39 / $125.37	Professional		$74.36	$84.39	$125.37
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $176.23 / $176.23 / $176.23	Facility		$176.23	$176.23	$176.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $74.45 / $111.54	Facility		$74.36	$74.45	$111.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.45 / $118.98	Professional		$74.36	$74.45	$118.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.15 / $74.36 / $85.00	Facility		$70.15	$74.36	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $94.70	Professional		$74.36	$74.36	$94.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $70.15 / $74.36 / $135.63	Facility		$70.15	$74.36	$135.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $105.23	Professional		$74.36	$74.36	$105.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $85.51 / $106.38	Professional		$74.36	$85.51	$106.38
United Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $74.36 / $88.49	Professional		$73.37	$74.36	$88.49