Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.88 / $2,532.00 / $8,553.00	Facility		$521.88	$2,532.00	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.30 / $456.57 / $816.10	Professional		$292.30	$456.57	$816.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.95 / $383.94 / $639.52	Professional		$271.95	$383.94	$639.52
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $359.65 / $359.65 / $359.65	Professional		$359.65	$359.65	$359.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.23 / $359.65 / $477.66	Facility		$280.23	$359.65	$477.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $500.83 / $637.41 / $127,498.73	Professional		$500.83	$637.41	$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 $344.66 / $507.92 / $808.43	Professional		$344.66	$507.92	$808.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $535.54 / $535.54 / $5,639.97	Facility		$535.54	$535.54	$5,639.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $351.97 / $524.49 / $832.94	Professional		$351.97	$524.49	$832.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $353.51 / $589.44	Professional		$34.85	$353.51	$589.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.09 / $559.46 / $941.64	Professional		$373.09	$559.46	$941.64