Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.23 / $288.31 / $6,142.50	Facility		$118.23	$288.31	$6,142.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $100.12 / $550.04	Professional		$99.12	$100.12	$550.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.06 / $173.13 / $284.50	Facility		$107.06	$173.13	$284.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $103.70 / $197.81	Professional		$99.13	$103.70	$197.81
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $132.83 / $132.83 / $132.83	Facility		$132.83	$132.83	$132.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $99.13 / $168.52	Facility		$99.13	$99.13	$168.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $133.83	Professional		$99.13	$99.13	$133.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $99.13	Facility		$93.52	$93.52	$99.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $279.18	Professional		$99.13	$99.13	$279.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $168.87 / $279.08 / $603.03	Facility		$168.87	$279.08	$603.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $279.18	Professional		$99.13	$99.13	$279.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.08 / $138.78 / $158.06	Professional		$114.08	$138.78	$158.06
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $106.17 / $122.85	Professional		$99.13	$106.17	$122.85