Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.55 / $3,983.00 / $10,268.00	Facility		$454.55	$3,983.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.81 / $431.81 / $789.01	Professional		$287.81	$431.81	$789.01
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 $173.49 / $255.13 / $454.69	Professional		$173.49	$255.13	$454.69
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $357.48 / $357.48 / $357.48	Professional		$357.48	$357.48	$357.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $278.54 / $357.48 / $474.78	Facility		$278.54	$357.48	$474.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $484.25 / $616.32 / $127,498.73	Professional		$484.25	$616.32	$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 $342.58 / $516.66 / $792.10	Professional		$342.58	$516.66	$792.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $535.53 / $535.53 / $535.53	Facility		$535.53	$535.53	$535.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $351.54 / $521.37 / $793.81	Professional		$351.54	$521.37	$793.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $300.07 / $567.70	Professional		$34.77	$300.07	$567.70
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 $380.84 / $582.20 / $951.03	Professional		$380.84	$582.20	$951.03