Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $865.85 / $1,550.47	Facility		$503.40	$865.85	$1,550.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.69 / $342.31 / $427.89	Professional		$251.69	$342.31	$427.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.50 / $553.74 / $890.87	Facility		$444.50	$553.74	$890.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $54.07 / $369.49	Professional		$41.78	$54.07	$369.49
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $402.72 / $402.72 / $402.72	Professional		$402.72	$402.72	$402.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.89 / $654.41 / $13,411.71	Facility		$427.89	$654.41	$13,411.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $526.15 / $1,100.45 / $13,927.55	Professional		$526.15	$1,100.45	$13,927.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $518.29 / $1,717.85	Facility		$327.20	$518.29	$1,717.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $525.00 / $659.45	Professional		$327.20	$525.00	$659.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $518.29 / $1,947.34	Facility		$327.20	$518.29	$1,947.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $327.20 / $327.20	Professional		$327.20	$327.20	$327.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.87 / $276.87 / $276.87	Professional		$276.87	$276.87	$276.87
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $302.04 / $659.45	Professional		$211.43	$302.04	$659.45