Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.46 / $3,983.00 / $11,627.00	Facility		$750.46	$3,983.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.68 / $442.43 / $785.66	Professional		$377.68	$442.43	$785.66
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 $351.96 / $463.76 / $753.10	Professional		$351.96	$463.76	$753.10
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $486.83 / $486.83 / $486.83	Professional		$486.83	$486.83	$486.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $379.32 / $486.83 / $646.58	Facility		$379.32	$486.83	$646.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.26 / $567.97 / $127,498.73	Professional		$446.26	$567.97	$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 $422.83 / $588.26 / $852.36	Professional		$422.83	$588.26	$852.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $484.32 / $484.32 / $484.32	Facility		$484.32	$484.32	$484.32
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $48.13 / $48.13 / $48.13	Facility	AS	$48.13	$48.13	$48.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $425.98 / $593.98 / $838.75	Professional		$425.98	$593.98	$838.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $349.33 / $536.72	Professional		$67.08	$349.33	$536.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.42 / $536.15 / $869.72	Professional		$340.42	$536.15	$869.72