Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.08 / $2,989.00 / $9,516.00	Facility		$204.08	$2,989.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $129.35 / $386.40	Professional		$111.83	$129.35	$386.40
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 $178.50 / $244.27 / $384.19	Professional		$178.50	$244.27	$384.19
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $700.50 / $840.60 / $1,281.92	Professional		$700.50	$840.60	$1,281.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.53 / $141.04 / $176.30	Facility		$117.53	$141.04	$176.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $152.79 / $193.57	Professional		$117.53	$152.79	$193.57
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 $121.97 / $170.42 / $253.45	Professional		$121.97	$170.42	$253.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $3,421.36 / $5,728.77	Facility		$140.24	$3,421.36	$5,728.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $123.41 / $177.45 / $253.45	Professional		$123.41	$177.45	$253.45
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 $2,904.00 / $5,920.00 / $9,245.00	Facility		$2,904.00	$5,920.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.30 / $153.29 / $251.51	Professional		$101.30	$153.29	$251.51