Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.78 / $3,785.00 / $9,863.00	Facility		$462.78	$3,785.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.54 / $435.71 / $814.15	Professional		$287.54	$435.71	$814.15
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 $165.22 / $246.87 / $444.29	Professional		$165.22	$246.87	$444.29
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $364.68 / $364.68 / $364.68	Professional		$364.68	$364.68	$364.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $284.14 / $309.98 / $451.37	Facility		$284.14	$309.98	$451.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $350.75 / $484.69 / $616.88	Professional		$350.75	$484.69	$616.88
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 $349.48 / $492.03 / $799.81	Professional		$349.48	$492.03	$799.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $545.71 / $545.71 / $545.71	Facility		$545.71	$545.71	$545.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $355.56 / $512.66 / $794.55	Professional		$355.56	$512.66	$794.55
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 $370.31 / $569.94 / $939.31	Professional		$370.31	$569.94	$939.31