Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.96 / $2,113.00 / $10,268.00	Facility		$190.96	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $116.82 / $368.80	Professional		$102.84	$116.82	$368.80
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 $120.66 / $161.72 / $257.79	Professional		$120.66	$161.72	$257.79
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $400.97 / $481.16 / $733.78	Professional		$400.97	$481.16	$733.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.36 / $132.43 / $165.54	Facility		$110.36	$132.43	$165.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $143.47 / $181.76	Professional		$110.36	$143.47	$181.76
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 $115.29 / $160.02 / $236.17	Professional		$115.29	$160.02	$236.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $954.19 / $3,202.83 / $7,315.54	Facility		$954.19	$3,202.83	$7,315.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $115.88 / $165.12 / $236.17	Professional		$115.88	$165.12	$236.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
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 $95.04 / $146.19 / $238.26	Professional		$95.04	$146.19	$238.26