Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.29 / $1,378.00 / $8,956.00	Facility		$99.29	$1,378.00	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $99.29 / $186.99	Professional		$62.17	$99.29	$186.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $95.46 / $166.28	Professional		$61.89	$95.46	$166.28
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $120.47 / $120.47 / $120.47	Professional		$120.47	$120.47	$120.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.77 / $100.14 / $100.14	Facility		$68.77	$100.14	$100.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $117.27 / $117.27	Professional		$85.60	$117.27	$117.27
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 $70.79 / $112.35 / $186.57	Professional		$70.79	$112.35	$186.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $346.21 / $698.37 / $2,170.60	Facility		$346.21	$698.37	$2,170.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $116.57 / $179.80	Professional		$73.28	$116.57	$179.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $110.13 / $155.52	Professional		$81.79	$110.13	$155.52
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $118.72 / $205.69	Professional		$81.06	$118.72	$205.69