Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.73 / $117.73 / $342.00	Facility		$117.73	$117.73	$342.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.11 / $117.73 / $183.95	Professional		$100.11	$117.73	$183.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.40 / $265.22 / $687.16	Facility		$226.40	$265.22	$687.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $123.82 / $313.44	Professional		$117.62	$123.82	$313.44
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $204.94 / $204.94 / $204.94	Professional		$204.94	$204.94	$204.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.72 / $241.11 / $325.50	Facility		$156.72	$241.11	$325.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $217.00 / $516.26	Professional		$156.72	$217.00	$516.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $170.15 / $279.14	Facility		$170.15	$170.15	$279.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $124.21 / $200.48	Professional		$124.21	$124.21	$200.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $170.15 / $170.15	Facility		$170.15	$170.15	$170.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $170.15 / $170.15	Professional		$124.21	$170.15	$170.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $179.23 / $234.97	Professional		$130.35	$179.23	$234.97
United Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $120.29 / $156.94	Professional		$80.19	$120.29	$156.94