Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.52 / $6,021.00 / $11,627.00	Facility		$1,237.52	$6,021.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.77 / $952.90 / $2,346.85	Professional		$828.77	$952.90	$2,346.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,746.00 / $30,285.00	Facility		$2,777.00	$6,746.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $791.86 / $1,054.08 / $1,717.10	Professional		$791.86	$1,054.08	$1,717.10
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,120.60 / $1,120.60 / $1,120.60	Professional		$1,120.60	$1,120.60	$1,120.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $873.14 / $1,120.60 / $1,488.32	Facility		$873.14	$1,120.60	$1,488.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,027.22 / $1,307.38 / $127,498.73	Professional		$1,027.22	$1,307.38	$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 $962.64 / $1,307.38 / $1,839.43	Professional		$962.64	$1,307.38	$1,839.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,112.98 / $1,112.98 / $1,112.98	Facility		$1,112.98	$1,112.98	$1,112.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $980.53 / $1,342.17 / $1,805.25	Professional		$980.53	$1,342.17	$1,805.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $685.42 / $1,170.21	Professional		$72.37	$685.42	$1,170.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $759.33 / $1,179.88 / $1,919.67	Professional		$759.33	$1,179.88	$1,919.67