Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.98 / $1,006.95 / $9,496.00	Facility		$310.98	$1,006.95	$9,496.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $225.50 / $335.32 / $755.21	Facility	54	$225.50	$335.32	$755.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $312.64 / $645.17	Professional		$266.35	$312.64	$645.17
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 $221.99 / $310.88 / $494.46	Professional		$221.99	$310.88	$494.46
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $366.26 / $366.26 / $366.26	Professional		$366.26	$366.26	$366.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.83 / $355.30 / $471.89	Facility		$276.83	$355.30	$471.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $335.74 / $427.31 / $127,498.73	Professional		$335.74	$427.31	$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 $302.00 / $412.04 / $584.65	Professional		$302.00	$412.04	$584.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $464.26 / $528.76 / $638.98	Facility		$464.26	$528.76	$638.98
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $370.13 / $370.13 / $370.13	Facility	54	$370.13	$370.13	$370.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $310.89 / $414.52 / $597.59	Professional		$310.89	$414.52	$597.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $204.14 / $386.29	Professional		$34.85	$204.14	$386.29
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 $246.59 / $376.35 / $630.98	Professional		$246.59	$376.35	$630.98