Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.65 / $485.12 / $558.65	Professional		$242.65	$485.12	$558.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.06 / $361.80 / $817.05	Professional		$250.06	$361.80	$817.05
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $653.64 / $653.64 / $653.64	Professional		$653.64	$653.64	$653.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $653.64 / $784.37 / $980.46	Facility		$653.64	$784.37	$980.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $719.00 / $849.73 / $1,568.74	Professional		$719.00	$849.73	$1,568.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $282.08 / $282.08	Professional		$282.08	$282.08	$282.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $282.08 / $282.08	Professional		$282.08	$282.08	$282.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.08 / $568.55 / $716.88	Professional		$346.08	$568.55	$716.88
United Facility/Professional Professional Modifier Low / Median / High Price $195.46 / $302.20 / $393.07	Professional		$195.46	$302.20	$393.07