Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.39 / $3,010.50 / $9,516.00	Facility		$479.39	$3,010.50	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $427.97 / $760.90	Professional		$266.77	$427.97	$760.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.90 / $234.42 / $420.58	Professional		$156.90	$234.42	$420.58
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $336.47 / $336.47 / $336.47	Professional		$336.47	$336.47	$336.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.16 / $336.47 / $446.87	Facility		$262.16	$336.47	$446.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $591.80 / $127,498.73	Professional		$464.99	$591.80	$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 $322.45 / $475.77 / $751.55	Professional		$322.45	$475.77	$751.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $503.76 / $503.76 / $503.76	Facility		$503.76	$503.76	$503.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $328.06 / $486.13 / $760.90	Professional		$328.06	$486.13	$760.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $288.96 / $500.10	Professional		$34.77	$288.96	$500.10
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 $361.62 / $547.44 / $908.75	Professional		$361.62	$547.44	$908.75