Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.17 / $348.17 / $856.00	Facility		$348.17	$348.17	$856.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.71 / $348.17 / $492.04	Professional		$332.71	$348.17	$492.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $669.55 / $784.36 / $2,032.19	Facility		$669.55	$784.36	$2,032.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.23 / $407.50 / $926.96	Professional		$357.23	$407.50	$926.96
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $606.09 / $606.09 / $606.09	Professional		$606.09	$606.09	$606.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $508.88 / $713.05 / $962.62	Facility		$508.88	$713.05	$962.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $463.48 / $641.75 / $1,526.78	Professional		$463.48	$641.75	$1,526.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $472.30 / $887.79	Facility		$472.30	$472.30	$887.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $344.78 / $592.88	Professional		$344.78	$344.78	$592.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $472.30 / $472.30	Facility		$472.30	$472.30	$472.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $472.30 / $472.30	Professional		$344.78	$472.30	$472.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.48 / $415.91 / $545.25	Professional		$302.48	$415.91	$545.25
United Facility/Professional Professional Modifier Low / Median / High Price $237.15 / $355.73 / $521.61	Professional		$237.15	$355.73	$521.61