Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.28 / $2,181.00 / $10,268.00	Facility		$231.28	$2,181.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.30 / $254.10	Professional		$107.15	$128.30	$254.10
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 $98.15 / $131.53 / $208.61	Professional		$98.15	$131.53	$208.61
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $149.16 / $149.16	Professional		$149.16	$149.16	$149.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.23 / $126.79 / $184.62	Facility		$116.23	$126.79	$184.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $136.72 / $174.02	Professional		$136.72	$136.72	$174.02
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 $127.67 / $173.95 / $241.90	Professional		$127.67	$173.95	$241.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $150.62 / $150.62 / $150.62	Facility		$150.62	$150.62	$150.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $127.67 / $173.96 / $250.62	Professional		$127.67	$173.96	$250.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $144.50 / $202.94	Professional		$109.37	$144.50	$202.94
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 $102.26 / $155.38 / $254.32	Professional		$102.26	$155.38	$254.32