Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $66.23 / $66.23	Facility		$66.23	$66.23	$66.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $66.23 / $90.88	Professional		$62.71	$66.23	$90.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $155.04 / $248.06	Facility		$112.50	$155.04	$248.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $59.66 / $161.22	Professional		$59.60	$59.66	$161.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $134.49 / $134.49 / $138.91	Professional		$134.49	$134.49	$138.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.42 / $88.45 / $138.91	Facility		$10.42	$88.45	$138.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $86.82 / $153.22	Professional		$10.42	$86.82	$153.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $78.15 / $151.91	Facility		$78.15	$78.15	$151.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $78.15 / $138.00	Professional		$66.43	$78.15	$138.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $78.15 / $151.91	Facility		$78.15	$78.15	$151.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $78.15 / $78.15	Professional		$78.15	$78.15	$78.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $99.32 / $143.22	Professional		$79.45	$99.32	$143.22
United Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $62.81 / $88.66	Professional		$41.87	$62.81	$88.66