Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $191.89 / $225.10	Professional		$98.27	$191.89	$225.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.06 / $124.78 / $348.68	Professional		$106.06	$124.78	$348.68
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $290.57 / $290.57 / $290.57	Professional		$290.57	$290.57	$290.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $290.57 / $348.68 / $435.86	Facility		$290.57	$348.68	$435.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.19 / $377.74 / $697.37	Professional		$294.19	$377.74	$697.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $104.60	Professional		$104.60	$104.60	$104.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $104.60	Professional		$104.60	$104.60	$104.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $98.28 / $118.75	Professional		$65.52	$98.28	$118.75
United Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $136.44 / $177.95	Professional		$72.48	$136.44	$177.95