Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $62.19 / $209.58	Facility		$33.34	$62.19	$209.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $62.19 / $71.31	Professional		$54.47	$62.19	$71.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.73 / $127.37 / $330.00	Facility		$108.73	$127.37	$330.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $62.92 / $152.84	Professional		$56.49	$62.92	$152.84
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $98.42 / $98.42	Professional		$98.42	$98.42	$98.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.84 / $115.79 / $156.32	Facility		$86.84	$115.79	$156.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $104.81 / $247.93	Professional		$75.70	$104.81	$247.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $136.47	Facility		$64.66	$64.66	$136.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $64.66 / $94.95	Professional		$47.20	$64.66	$94.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $64.66	Facility		$64.66	$64.66	$64.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $64.66 / $64.66	Professional		$47.20	$64.66	$64.66
United Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $55.36 / $77.78	Professional		$38.51	$55.36	$77.78