Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $110.92 / $224.50	Facility		$56.00	$110.92	$224.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $66.62 / $125.69	Professional		$54.86	$66.62	$125.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.47 / $136.44 / $353.51	Facility		$116.47	$136.44	$353.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $67.73 / $163.72	Professional		$60.50	$67.73	$163.72
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $105.43 / $105.43 / $105.43	Professional		$105.43	$105.43	$105.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.03 / $124.04 / $173.66	Facility		$93.03	$124.04	$173.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $124.04 / $265.58	Professional		$86.83	$124.04	$265.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $88.85 / $88.85	Facility		$84.33	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $88.85	Professional		$64.86	$64.86	$88.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $88.85 / $88.85	Facility		$84.33	$88.85	$88.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $88.85	Professional		$64.86	$88.85	$88.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $72.34 / $94.84	Professional		$52.61	$72.34	$94.84
United Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $58.24 / $83.40	Professional		$40.92	$58.24	$83.40