Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.29 / $126.29 / $291.00	Facility		$126.29	$126.29	$291.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $126.29 / $154.66	Professional		$115.95	$126.29	$154.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.85 / $284.49 / $737.10	Facility		$242.85	$284.49	$737.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $137.44 / $336.21	Professional		$125.23	$137.44	$336.21
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $219.84 / $219.84 / $219.84	Professional		$219.84	$219.84	$219.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.81 / $258.63 / $349.15	Facility		$184.81	$258.63	$349.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $168.11 / $232.77 / $553.78	Professional		$168.11	$232.77	$553.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $269.54	Facility		$175.58	$175.58	$269.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $128.16 / $215.05	Professional		$128.16	$128.16	$215.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $175.58	Facility		$175.58	$175.58	$175.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $175.58 / $175.58	Professional		$128.16	$175.58	$175.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.70 / $150.84 / $197.75	Professional		$109.70	$150.84	$197.75
United Facility/Professional Professional Modifier Low / Median / High Price $86.02 / $129.03 / $164.17	Professional		$86.02	$129.03	$164.17