Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.03 / $159.03 / $414.00	Facility		$159.03	$159.03	$414.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $159.03 / $220.09	Professional		$155.00	$159.03	$220.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.82 / $358.26 / $928.22	Facility		$305.82	$358.26	$928.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $190.65 / $427.95	Professional		$158.88	$190.65	$427.95
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $276.83 / $276.83 / $276.83	Professional		$276.83	$276.83	$276.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $244.27 / $325.69 / $455.97	Facility		$244.27	$325.69	$455.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.70 / $325.69 / $697.37	Professional		$211.70	$325.69	$697.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $422.12	Facility		$203.51	$203.51	$422.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $148.56 / $259.98	Professional		$148.56	$148.56	$259.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $203.51	Facility		$203.51	$203.51	$203.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $203.51 / $203.51	Professional		$148.56	$203.51	$203.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $189.98 / $249.06	Professional		$138.16	$189.98	$249.06
United Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $162.47 / $250.38	Professional		$108.32	$162.47	$250.38