Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.61 / $3,324.00 / $9,504.00	Facility		$542.61	$3,324.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.82 / $477.51 / $886.81	Professional		$335.82	$477.51	$886.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.03 / $237.94 / $507.01	Professional		$154.03	$237.94	$507.01
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $433.02 / $433.02 / $433.02	Professional		$433.02	$433.02	$433.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $337.39 / $368.06 / $535.96	Facility		$337.39	$368.06	$535.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $385.82 / $541.19 / $688.79	Professional		$385.82	$541.19	$688.79
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 $386.31 / $559.32 / $890.04	Professional		$386.31	$559.32	$890.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $647.41 / $647.41 / $2,605.17	Facility		$647.41	$647.41	$2,605.17
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $64.73 / $64.73 / $64.73	Facility	AS	$64.73	$64.73	$64.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $404.40 / $573.73 / $885.57	Professional		$404.40	$573.73	$885.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $336.05 / $649.11	Professional		$34.77	$336.05	$649.11
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 $399.45 / $612.92 / $1,042.39	Professional		$399.45	$612.92	$1,042.39