Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $70.09 / $199.00	Facility		$70.09	$70.09	$199.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $70.09 / $74.52	Professional		$59.87	$70.09	$74.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.53 / $143.54 / $371.90	Facility		$122.53	$143.54	$371.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $64.34 / $169.63	Professional		$63.09	$64.34	$169.63
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $110.92 / $110.92 / $110.92	Professional		$110.92	$110.92	$110.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.47 / $130.49 / $176.16	Facility		$95.47	$130.49	$176.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $117.44 / $279.41	Professional		$84.82	$117.44	$279.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $138.51	Facility		$75.80	$75.80	$138.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $55.33 / $96.83	Professional		$55.33	$55.33	$96.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $75.80	Facility		$75.80	$75.80	$75.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $75.80 / $75.80	Professional		$55.33	$75.80	$75.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $76.10 / $99.77	Professional		$55.35	$76.10	$99.77
United Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Facility		$71.80	$71.80	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $61.41 / $94.57	Professional		$40.49	$61.41	$94.57