Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.62 / $78.62 / $245.00	Facility		$78.62	$78.62	$245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.79 / $78.62 / $90.05	Professional		$68.79	$78.62	$90.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.44 / $161.01 / $417.15	Facility		$137.44	$161.01	$417.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $78.55 / $190.28	Professional		$71.41	$78.55	$190.28
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $124.41 / $124.41 / $124.41	Professional		$124.41	$124.41	$124.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $146.37 / $197.60	Facility		$109.78	$146.37	$197.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.65 / $132.44 / $313.41	Professional		$95.65	$132.44	$313.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $172.45	Facility		$81.70	$81.70	$172.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $59.64 / $104.37	Professional		$59.64	$59.64	$104.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $81.70	Facility		$81.70	$81.70	$81.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $81.70 / $81.70	Professional		$59.64	$81.70	$81.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $103.23 / $135.34	Professional		$75.08	$103.23	$135.34
United Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $69.76 / $99.81	Professional		$48.68	$69.76	$99.81