Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $3,242.00 / $9,534.00	Facility		$700.00	$3,242.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.64 / $437.74 / $1,108.30	Professional		$374.64	$437.74	$1,108.30
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 $320.75 / $463.76 / $748.22	Professional		$320.75	$463.76	$748.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $515.29 / $515.29 / $515.29	Professional		$515.29	$515.29	$515.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $401.50 / $438.00 / $637.79	Facility		$401.50	$438.00	$637.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $417.57 / $472.35 / $601.16	Professional		$417.57	$472.35	$601.16
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 $442.84 / $601.17 / $835.26	Professional		$442.84	$601.17	$835.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $517.79 / $517.79 / $517.79	Facility		$517.79	$517.79	$517.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $442.84 / $601.17 / $865.61	Professional		$442.84	$601.17	$865.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $324.03 / $544.61	Professional		$71.16	$324.03	$544.61
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 $345.92 / $531.41 / $882.14	Professional		$345.92	$531.41	$882.14