Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.91 / $3,707.00 / $9,863.00	Facility		$397.91	$3,707.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $393.06 / $693.68	Professional		$255.43	$393.06	$693.68
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 $152.59 / $221.24 / $380.99	Professional		$152.59	$221.24	$380.99
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $379.70 / $379.70 / $379.70	Professional		$379.70	$379.70	$379.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.68 / $263.64 / $383.91	Facility		$241.68	$263.64	$383.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $303.39 / $422.73 / $538.02	Professional		$303.39	$422.73	$538.02
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 $297.25 / $440.30 / $689.23	Professional		$297.25	$440.30	$689.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $464.36 / $464.36 / $464.36	Facility		$464.36	$464.36	$464.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $302.67 / $452.33 / $691.75	Professional		$302.67	$452.33	$691.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $283.94 / $469.85	Professional		$34.31	$283.94	$469.85
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 $330.49 / $498.29 / $823.26	Professional		$330.49	$498.29	$823.26