Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.32 / $114.32 / $230.00	Facility		$114.32	$114.32	$230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $114.32 / $133.71	Professional		$86.11	$114.32	$133.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.85 / $257.54 / $667.27	Facility		$219.85	$257.54	$667.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.47 / $114.22 / $304.36	Professional		$105.47	$114.22	$304.36
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $199.01 / $199.01 / $199.01	Professional		$199.01	$199.01	$199.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.26 / $234.13 / $316.08	Facility		$149.26	$234.13	$316.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $210.72 / $501.32	Professional		$152.18	$210.72	$501.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $113.00 / $225.54	Facility		$113.00	$113.00	$225.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $82.49 / $144.36	Professional		$82.49	$82.49	$144.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $113.00 / $113.00	Facility		$113.00	$113.00	$113.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $113.00 / $113.00	Professional		$82.49	$113.00	$113.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $136.57 / $179.05	Professional		$99.32	$136.57	$179.05
United Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $116.81 / $148.62	Professional		$73.01	$116.81	$148.62