Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.01 / $2,451.00 / $8,553.00	Facility		$202.01	$2,451.00	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.27 / $183.02 / $336.36	Professional		$132.27	$183.02	$336.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.84 / $177.59 / $303.26	Professional		$112.84	$177.59	$303.26
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $209.03 / $209.03 / $214.73	Professional		$209.03	$209.03	$214.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.74 / $220.97 / $220.97	Facility		$151.74	$220.97	$220.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.62 / $209.03 / $209.03	Professional		$149.62	$209.03	$209.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.11 / $218.44 / $354.52	Professional		$143.11	$218.44	$354.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $894.27 / $1,485.16 / $3,781.87	Facility		$894.27	$1,485.16	$3,781.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $136.07 / $221.88 / $345.39	Professional		$136.07	$221.88	$345.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.34 / $200.82 / $289.48	Professional		$148.34	$200.82	$289.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.33 / $209.68 / $347.98	Professional		$149.33	$209.68	$347.98