Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.69 / $1,883.00 / $9,516.00	Facility		$515.69	$1,883.00	$9,516.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $351.61 / $522.84 / $1,158.64	Facility	54	$351.61	$522.84	$1,158.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.46 / $477.30 / $854.72	Professional		$407.46	$477.30	$854.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.83 / $500.16 / $796.09	Professional		$359.83	$500.16	$796.09
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $558.86 / $558.86 / $558.86	Professional		$558.86	$558.86	$558.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $428.27 / $549.66 / $730.02	Facility		$428.27	$549.66	$730.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.29 / $652.01 / $127,498.73	Professional		$512.29	$652.01	$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 $475.03 / $641.28 / $897.33	Professional		$475.03	$641.28	$897.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $818.60 / $818.60 / $818.60	Facility		$818.60	$818.60	$818.60
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $573.02 / $573.02 / $573.02	Facility	54	$573.02	$573.02	$573.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $478.08 / $652.00 / $897.33	Professional		$478.08	$652.00	$897.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $358.20 / $590.72	Professional		$71.16	$358.20	$590.72
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 $380.39 / $583.47 / $960.06	Professional		$380.39	$583.47	$960.06