Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.49 / $4,044.00 / $9,863.00	Facility		$360.49	$4,044.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $1,718.44 / $3,156.30	Professional		$166.05	$1,718.44	$3,156.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.09 / $1,440.73 / $2,749.85	Professional		$172.09	$1,440.73	$2,749.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $258.13 / $2,161.09 / $4,124.77	Professional	50	$258.13	$2,161.09	$4,124.77
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,590.57 / $1,590.57 / $1,590.57	Professional		$1,590.57	$1,590.57	$1,590.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.84 / $250.23 / $315.89	Facility		$171.84	$250.23	$315.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.34 / $2,261.31 / $2,744.78	Professional		$1,548.34	$2,261.31	$2,744.78
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 $191.73 / $371.38 / $2,943.02	Professional		$191.73	$371.38	$2,943.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9,849.53 / $9,849.53 / $9,849.53	Facility		$9,849.53	$9,849.53	$9,849.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $204.39 / $540.23 / $2,924.08	Professional		$204.39	$540.23	$2,924.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,336.96 / $1,769.51 / $2,427.45	Professional		$1,336.96	$1,769.51	$2,427.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,834.11 / $2,476.40 / $3,571.13	Professional		$1,834.11	$2,476.40	$3,571.13