Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.08 / $1,701.83 / $11,581.00	Facility		$409.08	$1,701.83	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.93 / $449.31 / $795.11	Professional		$403.93	$449.31	$795.11
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 $390.87 / $518.91 / $832.84	Professional		$390.87	$518.91	$832.84
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $480.11 / $480.11 / $480.11	Professional		$480.11	$480.11	$480.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $369.68 / $474.46 / $630.14	Facility		$369.68	$474.46	$630.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $440.10 / $560.13 / $127,498.73	Professional		$440.10	$560.13	$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 $415.15 / $593.77 / $911.01	Professional		$415.15	$593.77	$911.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $707.13 / $707.13 / $707.13	Facility		$707.13	$707.13	$707.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $420.10 / $612.83 / $927.54	Professional		$420.10	$612.83	$927.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $338.04 / $521.01	Professional		$67.21	$338.04	$521.01
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 $371.43 / $571.51 / $883.64	Professional		$371.43	$571.51	$883.64