Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $389.69 / $757.77	Facility		$58.60	$389.69	$757.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.56 / $445.75 / $742.19	Professional		$383.56	$445.75	$742.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $779.29 / $912.90 / $2,365.23	Facility		$779.29	$912.90	$2,365.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.13 / $404.86 / $1,078.88	Professional		$344.13	$404.86	$1,078.88
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $705.42 / $705.42 / $705.42	Professional		$705.42	$705.42	$705.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $622.42 / $829.91 / $1,120.38	Facility		$622.42	$829.91	$1,120.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $580.94 / $821.92 / $1,777.00	Professional		$580.94	$821.92	$1,777.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $1,070.20	Facility		$460.00	$460.00	$1,070.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $335.80 / $460.00	Professional		$335.80	$335.80	$460.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $460.00 / $460.00	Facility		$94.98	$460.00	$460.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $460.00 / $460.00	Professional		$335.80	$460.00	$460.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $448.67 / $616.92 / $808.78	Professional		$448.67	$616.92	$808.78
United Facility/Professional Professional Modifier Low / Median / High Price $257.37 / $389.73 / $526.79	Professional		$257.37	$389.73	$526.79