Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $181.00 / $472.00	Facility		$181.00	$181.00	$472.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.41 / $181.00 / $310.47	Professional		$176.41	$181.00	$310.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.07 / $407.75 / $1,056.44	Facility		$348.07	$407.75	$1,056.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.71 / $222.62 / $489.29	Professional		$185.71	$222.62	$489.29
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $315.08 / $315.08 / $315.08	Professional		$315.08	$315.08	$315.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $278.01 / $370.68 / $500.42	Facility		$278.01	$370.68	$500.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $259.48 / $370.68 / $793.70	Professional		$259.48	$370.68	$793.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $487.27	Facility		$239.78	$239.78	$487.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $175.04 / $306.32	Professional		$175.04	$175.04	$306.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $239.78	Facility		$239.78	$239.78	$239.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $239.78 / $239.78	Professional		$175.04	$239.78	$239.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.24 / $216.20 / $283.44	Professional		$157.24	$216.20	$283.44
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $184.93 / $284.95	Professional		$123.28	$184.93	$284.95