Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $56.85 / $416.47	Facility		$56.85	$56.85	$416.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $56.85 / $82.17	Professional		$50.97	$56.85	$82.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.38 / $116.42 / $301.64	Facility		$99.38	$116.42	$301.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $61.95 / $139.69	Professional		$51.63	$61.95	$139.69
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $89.96 / $89.96	Professional		$89.96	$89.96	$89.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.38 / $105.84 / $142.88	Facility		$79.38	$105.84	$142.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $105.84 / $226.62	Professional		$71.51	$105.84	$226.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $146.13	Facility		$68.45	$68.45	$146.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $49.98 / $87.46	Professional		$49.98	$49.98	$87.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $68.45	Facility		$68.45	$68.45	$68.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $68.45 / $68.45	Professional		$49.98	$68.45	$68.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $61.73 / $80.93	Professional		$44.89	$61.73	$80.93
United Facility/Professional Facility Modifier Low / Median / High Price $119.95 / $119.95 / $141.12	Facility		$119.95	$119.95	$141.12
United Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $52.33 / $79.45	Professional		$35.20	$52.33	$79.45