Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.25 / $186.25 / $486.00	Facility		$186.25	$186.25	$486.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.25 / $186.25 / $320.64	Professional		$186.25	$186.25	$320.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.16 / $419.57 / $1,087.08	Facility		$358.16	$419.57	$1,087.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.08 / $223.29 / $502.93	Professional		$186.08	$223.29	$502.93
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $324.22 / $324.22 / $324.22	Professional		$324.22	$324.22	$324.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $286.07 / $381.43 / $534.00	Facility		$286.07	$381.43	$534.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $247.93 / $381.43 / $816.72	Professional		$247.93	$381.43	$816.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $492.37	Facility		$248.05	$248.05	$492.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $181.08 / $316.88	Professional		$181.08	$181.08	$316.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $248.05	Facility		$248.05	$248.05	$248.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $248.05 / $248.05	Professional		$181.08	$248.05	$248.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.80 / $222.48 / $291.67	Professional		$161.80	$222.48	$291.67
United Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $190.30 / $293.23	Professional		$126.86	$190.30	$293.23