Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.97 / $246.97 / $691.00	Facility		$246.97	$246.97	$691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.35 / $246.97 / $331.10	Professional		$205.35	$246.97	$331.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.94 / $556.37 / $1,441.50	Facility		$474.94	$556.37	$1,441.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.75 / $257.30 / $657.52	Professional		$246.75	$257.30	$657.52
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $429.92 / $429.92 / $429.92	Professional		$429.92	$429.92	$429.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $328.76 / $505.79 / $682.82	Facility		$328.76	$505.79	$682.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $328.76 / $455.21 / $1,083.00	Professional		$328.76	$455.21	$1,083.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $545.54	Facility		$327.20	$327.20	$545.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $238.86 / $418.00	Professional		$238.86	$238.86	$418.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $327.20	Facility		$327.20	$327.20	$327.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $327.20 / $327.20	Professional		$238.86	$327.20	$327.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $273.44 / $375.99 / $492.92	Professional		$273.44	$375.99	$492.92
United Facility/Professional Facility Modifier Low / Median / High Price $188.84 / $314.41 / $404.63	Facility		$188.84	$314.41	$404.63
United Facility/Professional Professional Modifier Low / Median / High Price $168.22 / $252.34 / $321.95	Professional		$168.22	$252.34	$321.95