Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.64 / $3,325.00 / $10,635.00	Facility		$733.64	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.17 / $493.37 / $1,040.33	Professional		$424.17	$493.37	$1,040.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.00 / $3,264.00 / $14,996.00	Facility		$1,525.00	$3,264.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.74 / $508.54 / $839.37	Professional		$375.74	$508.54	$839.37
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $575.57 / $575.57 / $575.57	Professional		$575.57	$575.57	$575.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $448.46 / $489.23 / $712.40	Facility		$448.46	$489.23	$712.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $393.92 / $527.60 / $671.50	Professional		$393.92	$527.60	$671.50
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 $483.35 / $647.51 / $920.31	Professional		$483.35	$647.51	$920.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $580.85 / $580.85 / $580.85	Facility		$580.85	$580.85	$580.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $483.35 / $671.49 / $926.89	Professional		$483.35	$671.49	$926.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $356.58 / $589.86	Professional		$71.16	$356.58	$589.86
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 $381.14 / $577.04 / $927.53	Professional		$381.14	$577.04	$927.53