Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.02 / $1,949.00 / $9,504.00	Facility		$502.02	$1,949.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.70 / $502.02 / $944.40	Professional		$298.70	$502.02	$944.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.33 / $348.96 / $581.02	Professional		$242.33	$348.96	$581.02
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $377.74 / $377.74 / $377.74	Professional		$377.74	$377.74	$377.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $294.32 / $377.74 / $501.68	Facility		$294.32	$377.74	$501.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $532.30 / $677.49 / $127,498.73	Professional		$532.30	$677.49	$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 $353.88 / $528.98 / $863.29	Professional		$353.88	$528.98	$863.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.73 / $562.73 / $562.73	Facility		$562.73	$562.73	$562.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $361.99 / $550.86 / $863.29	Professional		$361.99	$550.86	$863.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $365.67 / $625.59	Professional		$34.85	$365.67	$625.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.77 / $567.48 / $920.53	Professional		$341.77	$567.48	$920.53