Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $135.00 / $342.66	Facility		$101.68	$135.00	$342.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.94 / $101.68 / $108.11	Professional		$83.94	$101.68	$108.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.76 / $208.24 / $539.53	Facility		$177.76	$208.24	$539.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $94.06 / $246.10	Professional		$88.39	$94.06	$246.10
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $160.91 / $160.91	Professional		$160.91	$160.91	$160.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.08 / $189.31 / $255.57	Facility		$136.08	$189.31	$255.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.05 / $170.38 / $405.35	Professional		$123.05	$170.38	$405.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $126.78	Facility		$117.36	$117.36	$126.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $85.67 / $126.78	Professional		$85.67	$85.67	$126.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $126.78	Facility		$117.36	$117.36	$126.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $117.36 / $117.36	Professional		$85.67	$117.36	$117.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $110.44 / $144.78	Professional		$80.31	$110.44	$144.78
United Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $88.44 / $120.17	Professional		$56.66	$88.44	$120.17