Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.94 / $4,886.00 / $11,581.00	Facility		$395.94	$4,886.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.18 / $392.32 / $731.64	Professional		$263.18	$392.32	$731.64
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 $167.89 / $243.64 / $414.03	Professional		$167.89	$243.64	$414.03
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $345.03 / $345.03 / $345.03	Professional		$345.03	$345.03	$345.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.16 / $318.49 / $423.00	Facility		$248.16	$318.49	$423.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $421.28 / $536.16 / $127,498.73	Professional		$421.28	$536.16	$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 $310.52 / $466.65 / $717.47	Professional		$310.52	$466.65	$717.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $478.20 / $478.20	Facility		$478.20	$478.20	$478.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $315.83 / $466.65 / $720.63	Professional		$315.83	$466.65	$720.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $256.04 / $448.71	Professional		$34.31	$256.04	$448.71
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 $353.97 / $527.40 / $844.26	Professional		$353.97	$527.40	$844.26