Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.79 / $62.79 / $62.79	Facility		$62.79	$62.79	$62.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $62.79 / $96.00	Professional		$61.52	$62.79	$96.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.66 / $147.00 / $235.20	Facility		$106.66	$147.00	$235.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $90.95 / $188.56	Professional		$84.93	$90.95	$188.56
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $131.62 / $131.62 / $139.63	Professional		$131.62	$131.62	$139.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $88.20 / $139.63	Facility		$11.27	$88.20	$139.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $87.60 / $172.45	Professional		$10.00	$87.60	$172.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $74.67 / $131.69	Facility		$74.67	$74.67	$131.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $74.67 / $128.25	Professional		$63.47	$74.67	$128.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $74.67 / $92.75	Facility		$74.67	$74.67	$92.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $74.67 / $74.67	Professional		$74.67	$74.67	$74.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $99.83 / $143.96	Professional		$79.86	$99.83	$143.96
United Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $61.40 / $88.27	Professional		$40.36	$61.40	$88.27