Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.32 / $106.32 / $277.00	Facility		$106.32	$106.32	$277.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.63 / $106.32 / $147.15	Professional		$103.63	$106.32	$147.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.46 / $239.51 / $620.55	Facility		$204.46	$239.51	$620.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $130.78 / $287.08	Professional		$109.09	$130.78	$287.08
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $185.08 / $185.08 / $185.08	Professional		$185.08	$185.08	$185.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.31 / $217.74 / $293.95	Facility		$163.31	$217.74	$293.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $217.74 / $466.22	Professional		$141.53	$217.74	$466.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $286.83	Facility		$140.85	$140.85	$286.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $181.05	Professional		$102.82	$102.82	$181.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $140.85	Facility		$140.85	$140.85	$140.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $140.85 / $140.85	Professional		$102.82	$140.85	$140.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.37 / $127.01 / $166.51	Professional		$92.37	$127.01	$166.51
United Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $108.63 / $167.39	Professional		$72.42	$108.63	$167.39