Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.95 / $291.95 / $838.00	Facility		$291.95	$291.95	$838.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.67 / $291.95 / $376.59	Professional		$206.67	$291.95	$376.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.42 / $597.94 / $1,549.20	Facility		$510.42	$597.94	$1,549.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.45 / $265.20 / $706.65	Professional		$244.45	$265.20	$706.65
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $462.04 / $462.04 / $462.04	Professional		$462.04	$462.04	$462.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $353.33 / $543.58 / $733.83	Facility		$353.33	$543.58	$733.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $353.33 / $489.22 / $1,163.91	Professional		$353.33	$489.22	$1,163.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $315.73 / $543.05	Facility		$315.73	$315.73	$543.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $230.48 / $350.29	Professional		$230.48	$230.48	$350.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $315.73 / $350.29	Facility		$315.73	$315.73	$350.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $315.73 / $316.89	Professional		$230.48	$315.73	$316.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.60 / $317.08 / $415.69	Professional		$230.60	$317.08	$415.69
United Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $245.12 / $345.05	Professional		$156.69	$245.12	$345.05