Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.83 / $3,785.00 / $9,863.00	Facility		$512.83	$3,785.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.01 / $466.85 / $922.28	Professional		$297.01	$466.85	$922.28
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 $176.29 / $262.05 / $486.60	Professional		$176.29	$262.05	$486.60
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $404.10 / $404.10 / $404.10	Professional		$404.10	$404.10	$404.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $314.86 / $343.49 / $500.16	Facility		$314.86	$343.49	$500.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $378.43 / $562.32 / $715.68	Professional		$378.43	$562.32	$715.68
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 $370.43 / $555.64 / $857.66	Professional		$370.43	$555.64	$857.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $603.66 / $603.66 / $603.66	Facility		$603.66	$603.66	$603.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $378.82 / $564.69 / $874.89	Professional		$378.82	$564.69	$874.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $367.72 / $665.38	Professional		$34.85	$367.72	$665.38
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 $392.21 / $611.27 / $995.55	Professional		$392.21	$611.27	$995.55