Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $282.00	Facility		$92.77	$92.77	$282.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $92.77 / $106.27	Professional		$81.18	$92.77	$106.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $189.99 / $492.25	Facility		$162.18	$189.99	$492.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.26 / $92.09 / $224.53	Professional		$84.26	$92.09	$224.53
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $146.81 / $146.81 / $146.81	Professional		$146.81	$146.81	$146.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.54 / $172.72 / $233.17	Facility		$129.54	$172.72	$233.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.87 / $156.29 / $369.83	Professional		$112.87	$156.29	$369.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $116.46 / $203.50	Facility		$116.46	$116.46	$203.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $85.02 / $143.61	Professional		$85.02	$85.02	$143.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $116.46 / $116.46	Facility		$116.46	$116.46	$116.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $116.46 / $116.46	Professional		$85.02	$116.46	$116.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $69.10 / $90.59	Professional		$50.25	$69.10	$90.59
United Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $83.03 / $115.98	Professional		$57.44	$83.03	$115.98