Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.61 / $858.00 / $8,956.00	Facility		$286.61	$858.00	$8,956.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.67 / $286.50 / $668.97	Facility	54	$192.67	$286.50	$668.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.21 / $286.61 / $550.76	Professional		$224.21	$286.61	$550.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.59 / $238.51 / $404.35	Professional		$168.59	$238.51	$404.35
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $338.10 / $338.10 / $338.10	Professional		$338.10	$338.10	$338.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $236.43 / $303.44 / $403.01	Facility		$236.43	$303.44	$403.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.93 / $394.45 / $127,498.73	Professional		$309.93	$394.45	$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 $257.75 / $354.02 / $519.41	Professional		$257.75	$354.02	$519.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $351.81 / $351.81 / $451.20	Facility		$351.81	$351.81	$451.20
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $315.83 / $315.83 / $315.83	Facility	54	$315.83	$315.83	$315.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $265.52 / $366.27 / $509.83	Professional		$265.52	$366.27	$509.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $195.89 / $372.78	Professional		$34.77	$195.89	$372.78
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.60 / $335.28 / $581.42	Professional		$220.60	$335.28	$581.42