Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.35 / $203.35 / $734.00	Facility		$203.35	$203.35	$734.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.33 / $203.35 / $263.06	Professional		$182.33	$203.35	$263.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $355.50 / $416.45 / $1,078.98	Facility		$355.50	$416.45	$1,078.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.70 / $221.64 / $499.18	Professional		$184.70	$221.64	$499.18
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $321.80 / $321.80 / $321.80	Professional		$321.80	$321.80	$321.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.94 / $378.59 / $511.10	Facility		$283.94	$378.59	$511.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $246.08 / $378.59 / $810.64	Professional		$246.08	$378.59	$810.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $236.57 / $510.53	Facility		$236.57	$236.57	$510.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $172.70 / $302.22	Professional		$172.70	$172.70	$302.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $236.57 / $236.57	Facility		$236.57	$236.57	$236.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $236.56 / $236.57	Professional		$172.70	$236.56	$236.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $220.83 / $289.51	Professional		$160.60	$220.83	$289.51
United Facility/Professional Professional Modifier Low / Median / High Price $125.92 / $188.88 / $284.58	Professional		$125.92	$188.88	$284.58