Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $6,251.00 / $11,581.00	Facility		$1,375.00	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.65 / $968.57 / $2,476.92	Professional		$803.65	$968.57	$2,476.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,669.00 / $30,285.00	Facility		$2,777.00	$6,669.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.13 / $1,157.59 / $1,825.54	Professional		$871.13	$1,157.59	$1,825.54
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,093.80 / $1,093.80 / $1,093.80	Professional		$1,093.80	$1,093.80	$1,093.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $852.26 / $1,093.80 / $1,452.71	Facility		$852.26	$1,093.80	$1,452.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,002.65 / $1,276.09 / $127,498.73	Professional		$1,002.65	$1,276.09	$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 $957.08 / $1,321.68 / $1,907.52	Professional		$957.08	$1,321.68	$1,907.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,089.54 / $1,089.54 / $1,089.54	Facility		$1,089.54	$1,089.54	$1,089.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $957.08 / $1,328.12 / $1,896.07	Professional		$957.08	$1,328.12	$1,896.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $666.78 / $1,134.07	Professional		$72.37	$666.78	$1,134.07
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 $795.70 / $1,198.41 / $1,918.30	Professional		$795.70	$1,198.41	$1,918.30