Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.97 / $128.97 / $288.00	Facility		$128.97	$128.97	$288.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.24 / $128.97 / $155.10	Professional		$99.24	$128.97	$155.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.04 / $290.57 / $752.83	Facility		$248.04	$290.57	$752.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $144.94 / $343.39	Professional		$121.55	$144.94	$343.39
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $224.53 / $224.53 / $224.53	Professional		$224.53	$224.53	$224.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.02 / $264.14 / $356.60	Facility		$172.02	$264.14	$356.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.70 / $237.74 / $565.60	Professional		$171.70	$237.74	$565.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $284.23	Facility		$170.89	$170.89	$284.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $124.75 / $219.64	Professional		$124.75	$124.75	$219.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $170.89	Facility		$170.89	$170.89	$170.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $170.89 / $170.89	Professional		$124.75	$170.89	$170.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.06 / $154.08 / $202.00	Professional		$112.06	$154.08	$202.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $131.78 / $167.67	Professional		$84.14	$131.78	$167.67