Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.95 / $116.95 / $350.00	Facility		$116.95	$116.95	$350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $116.95 / $127.38	Professional		$92.85	$116.95	$127.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.45 / $239.50 / $620.53	Facility		$204.45	$239.50	$620.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $118.10 / $283.04	Professional		$106.21	$118.10	$283.04
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $185.07 / $185.07 / $185.07	Professional		$185.07	$185.07	$185.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.60 / $217.73 / $293.94	Facility		$144.60	$217.73	$293.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.52 / $195.96 / $466.20	Professional		$141.52	$195.96	$466.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $203.46	Facility		$138.33	$138.33	$203.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $181.04	Professional		$100.98	$100.98	$181.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $203.46	Facility		$138.33	$138.33	$203.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $138.33 / $138.33	Professional		$100.98	$138.33	$138.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $127.00 / $166.50	Professional		$92.36	$127.00	$166.50
United Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $102.25 / $147.19	Professional		$72.42	$102.25	$147.19