Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.75 / $2,849.00 / $9,504.00	Facility		$446.75	$2,849.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.99 / $433.26 / $747.84	Professional		$295.99	$433.26	$747.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.93 / $261.02 / $451.96	Professional		$177.93	$261.02	$451.96
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $354.72 / $354.72 / $354.72	Professional		$354.72	$354.72	$354.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.39 / $354.72 / $471.12	Facility		$276.39	$354.72	$471.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $461.95 / $587.92 / $127,498.73	Professional		$461.95	$587.92	$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 $337.19 / $491.34 / $787.79	Professional		$337.19	$491.34	$787.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $531.89 / $531.89 / $531.89	Facility		$531.89	$531.89	$531.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $345.85 / $499.74 / $788.44	Professional		$345.85	$499.74	$788.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $298.96 / $515.53	Professional		$34.58	$298.96	$515.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.41 / $555.78 / $938.98	Professional		$365.41	$555.78	$938.98