Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.75 / $5,467.00 / $11,561.00	Facility		$297.75	$5,467.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.80 / $477.29 / $893.29	Professional		$271.80	$477.29	$893.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.83 / $612.72 / $989.54	Professional		$311.83	$612.72	$989.54
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $305.26 / $305.26 / $305.26	Professional		$305.26	$305.26	$305.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.91 / $400.49 / $489.99	Facility		$208.91	$400.49	$489.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $277.66 / $337.68 / $526.77	Professional		$277.66	$337.68	$526.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.91 / $171.62 / $21,571.00	Facility		$153.91	$171.62	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.29 / $391.70 / $1,093.08	Professional		$245.29	$391.70	$1,093.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $153.91 / $153.91 / $171.62	Facility		$153.91	$153.91	$171.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $252.70 / $409.72 / $1,080.56	Professional		$252.70	$409.72	$1,080.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $238.67 / $363.54	Professional		$32.34	$238.67	$363.54
United Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $1,848.00 / $3,923.00	Facility		$745.00	$1,848.00	$3,923.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.83 / $444.25 / $803.19	Professional		$272.83	$444.25	$803.19