Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.48 / $3,707.00 / $9,831.00	Facility		$481.48	$3,707.00	$9,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $453.97 / $796.06	Professional		$312.25	$453.97	$796.06
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 $182.34 / $273.51 / $508.65	Professional		$182.34	$273.51	$508.65
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $381.49 / $381.49 / $381.49	Professional		$381.49	$381.49	$381.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $297.24 / $381.49 / $506.67	Facility		$297.24	$381.49	$506.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $490.38 / $624.12 / $127,498.73	Professional		$490.38	$624.12	$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 $360.00 / $521.59 / $833.60	Professional		$360.00	$521.59	$833.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $571.65 / $980.03 / $2,021.20	Facility		$571.65	$980.03	$2,021.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $365.60 / $530.51 / $825.14	Professional		$365.60	$530.51	$825.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $299.41 / $567.70	Professional		$34.85	$299.41	$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 $384.62 / $585.40 / $987.78	Professional		$384.62	$585.40	$987.78