Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $62.87 / $197.00	Facility		$62.87	$62.87	$197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.36 / $62.87 / $73.79	Professional		$56.36	$62.87	$73.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.90 / $128.74 / $333.56	Facility		$109.90	$128.74	$333.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $62.70 / $152.15	Professional		$57.00	$62.70	$152.15
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $99.48 / $99.48	Professional		$99.48	$99.48	$99.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.78 / $117.04 / $158.00	Facility		$87.78	$117.04	$158.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $117.04 / $250.61	Professional		$76.08	$117.04	$250.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $137.16	Facility		$75.70	$75.70	$137.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $97.32	Professional		$55.27	$55.27	$97.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $75.70	Facility		$75.70	$75.70	$75.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $75.70 / $75.70	Professional		$55.27	$75.70	$75.70
United Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $57.87 / $79.17	Professional		$38.93	$57.87	$79.17