Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.37 / $6,642.04 / $11,627.00	Facility		$841.37	$6,642.04	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.77 / $2,633.12 / $9,186.51	Professional		$459.77	$2,633.12	$9,186.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $7,086.00 / $30,285.00	Facility		$2,777.00	$7,086.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.39 / $551.12 / $839.86	Professional		$400.39	$551.12	$839.86
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $538.46 / $538.46 / $538.46	Professional		$538.46	$538.46	$538.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $419.55 / $457.69 / $666.47	Facility		$419.55	$457.69	$666.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,224.80 / $5,224.80 / $7,698.50	Professional		$5,224.80	$5,224.80	$7,698.50
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 $525.00 / $1,008.84 / $10,070.81	Professional		$525.00	$1,008.84	$10,070.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $805.44 / $805.44 / $805.44	Facility		$805.44	$805.44	$805.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $533.97 / $1,032.05 / $10,044.58	Professional		$533.97	$1,032.05	$10,044.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $521.79 / $4,512.17 / $6,875.61	Professional		$521.79	$4,512.17	$6,875.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,375.46 / $8,248.62 / $12,524.43	Professional		$5,375.46	$8,248.62	$12,524.43