Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.12 / $3,999.00 / $10,268.00	Facility		$621.12	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.29 / $590.85 / $1,088.13	Professional		$438.29	$590.85	$1,088.13
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 $161.35 / $255.49 / $647.16	Professional		$161.35	$255.49	$647.16
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $555.14 / $555.14 / $555.14	Professional		$555.14	$555.14	$555.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $432.55 / $471.88 / $687.11	Facility		$432.55	$471.88	$687.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $471.90 / $661.23 / $841.57	Professional		$471.90	$661.23	$841.57
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 $480.50 / $717.07 / $1,110.79	Professional		$480.50	$717.07	$1,110.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $831.92 / $831.92 / $831.92	Facility		$831.92	$831.92	$831.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $508.89 / $721.35 / $1,082.02	Professional		$508.89	$721.35	$1,082.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $458.50 / $759.17	Professional		$72.37	$458.50	$759.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.36 / $3,724.00 / $6,238.00	Facility		$2,398.36	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.09 / $726.18 / $1,200.31	Professional		$420.09	$726.18	$1,200.31