Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.44 / $1,048.00 / $9,504.00	Facility		$130.44	$1,048.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $126.65 / $254.69	Professional		$92.73	$126.65	$254.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $106.59 / $180.67	Professional		$80.89	$106.59	$180.67
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $154.63 / $154.63	Professional		$154.63	$154.63	$154.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $112.91 / $149.96	Facility		$87.98	$112.91	$149.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.75 / $180.40 / $127,498.73	Professional		$141.75	$180.40	$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 $109.99 / $156.35 / $241.52	Professional		$109.99	$156.35	$241.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $168.47 / $381.68 / $753.19	Facility		$168.47	$381.68	$753.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $111.96 / $161.05 / $239.43	Professional		$111.96	$161.05	$239.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $139.76 / $199.39	Professional		$103.95	$139.76	$199.39
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $162.16 / $272.01	Professional		$107.30	$162.16	$272.01