Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.38 / $57.38 / $170.00	Facility		$57.38	$57.38	$170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $57.38 / $61.01	Professional		$45.17	$57.38	$61.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $117.50 / $304.44	Facility		$100.30	$117.50	$304.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $52.58 / $138.86	Professional		$51.47	$52.58	$138.86
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $90.80 / $90.80	Professional		$90.80	$90.80	$90.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $106.82 / $144.21	Facility		$79.73	$106.82	$144.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $103.52 / $228.72	Professional		$74.76	$103.52	$228.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $66.78 / $134.78	Facility		$66.78	$66.78	$134.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $85.31	Professional		$48.75	$48.75	$85.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $66.78 / $66.78	Facility		$66.78	$66.78	$66.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $66.78 / $66.78	Professional		$48.75	$66.78	$66.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $62.31 / $81.69	Professional		$45.32	$62.31	$81.69
United Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $99.60 / $117.18	Facility		$99.60	$99.60	$117.18
United Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $50.17 / $67.81	Professional		$32.99	$50.17	$67.81