Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $117.75 / $873.60	Facility		$69.27	$117.75	$873.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $69.27 / $87.83	Professional		$63.83	$69.27	$87.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.09 / $141.86 / $367.54	Facility		$121.09	$141.86	$367.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $71.30 / $167.64	Professional		$62.92	$71.30	$167.64
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $109.62 / $109.62 / $109.62	Professional		$109.62	$109.62	$109.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $128.96 / $174.10	Facility		$96.72	$128.96	$174.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.27 / $126.92 / $276.13	Professional		$90.27	$126.92	$276.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $165.25	Facility		$77.09	$77.09	$165.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $56.28 / $100.50	Professional		$56.28	$56.28	$100.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $100.50	Facility		$77.09	$77.09	$100.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $77.09 / $77.09	Professional		$56.28	$77.09	$77.09
United Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $62.33 / $91.51	Professional		$42.90	$62.33	$91.51