Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.38 / $2,849.00 / $10,268.00	Facility		$418.38	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.67 / $396.79 / $627.15	Professional		$274.67	$396.79	$627.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.47 / $245.11 / $427.93	Professional		$168.47	$245.11	$427.93
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $335.60 / $335.60 / $335.60	Professional		$335.60	$335.60	$335.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $261.49 / $335.60 / $445.73	Facility		$261.49	$335.60	$445.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $444.74 / $566.03 / $127,498.73	Professional		$444.74	$566.03	$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 $321.62 / $475.94 / $745.19	Professional		$321.62	$475.94	$745.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $503.06 / $503.06 / $503.06	Facility		$503.06	$503.06	$503.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $328.94 / $483.77 / $752.31	Professional		$328.94	$483.77	$752.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $291.11 / $485.37	Professional		$34.31	$291.11	$485.37
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 $349.98 / $531.41 / $882.16	Professional		$349.98	$531.41	$882.16