Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.97 / $74.97 / $194.00	Facility		$74.97	$74.97	$194.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $74.97 / $103.76	Professional		$73.06	$74.97	$103.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.16 / $168.89 / $437.59	Facility		$144.16	$168.89	$437.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $89.88 / $202.45	Professional		$74.90	$89.88	$202.45
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $130.51 / $130.51	Professional		$130.51	$130.51	$130.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.16 / $153.54 / $207.28	Facility		$115.16	$153.54	$207.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $153.54 / $328.76	Professional		$99.80	$153.54	$328.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $189.19	Facility		$99.32	$99.32	$189.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $72.50 / $126.88	Professional		$72.50	$72.50	$126.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $99.32	Facility		$99.32	$99.32	$99.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $99.32 / $99.32	Professional		$72.50	$99.32	$99.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $89.56 / $117.41	Professional		$65.13	$89.56	$117.41
United Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $76.59 / $115.42	Professional		$51.07	$76.59	$115.42