Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.92 / $196.92 / $555.00	Facility		$196.92	$196.92	$555.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.93 / $196.92 / $337.80	Professional		$191.93	$196.92	$337.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.69 / $443.62 / $1,149.38	Facility		$378.69	$443.62	$1,149.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.05 / $242.22 / $532.34	Professional		$202.05	$242.22	$532.34
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $342.80 / $342.80 / $342.80	Professional		$342.80	$342.80	$342.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.47 / $415.39 / $564.61	Facility		$302.47	$415.39	$564.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $282.30 / $403.29 / $863.52	Professional		$282.30	$403.29	$863.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $630.14	Facility		$260.88	$260.88	$630.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $333.27	Professional		$190.44	$190.44	$333.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $260.88	Facility		$260.88	$260.88	$260.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $260.88 / $260.88	Professional		$190.44	$260.88	$260.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.08 / $235.24 / $308.40	Professional		$171.08	$235.24	$308.40
United Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $201.20 / $310.04	Professional		$134.13	$201.20	$310.04