Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $1,679.00 / $9,504.00	Facility		$83.79	$1,679.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $77.91 / $146.75	Professional		$52.79	$77.91	$146.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $75.78 / $125.06	Professional		$54.74	$75.78	$125.06
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $98.36	Professional		$95.90	$95.90	$98.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.19 / $74.68 / $99.18	Facility		$58.19	$74.68	$99.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $114.76 / $127,498.73	Professional		$90.17	$114.76	$127,498.73
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 $71.55 / $101.68 / $151.63	Professional		$71.55	$101.68	$151.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $111.58 / $695.92 / $815.65	Facility		$111.58	$695.92	$815.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $102.47 / $151.63	Professional		$71.55	$102.47	$151.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $71.09 / $101.43	Professional		$52.98	$71.09	$101.43
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $103.19 / $160.59	Professional		$66.11	$103.19	$160.59