Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.97 / $2,113.00 / $10,268.00	Facility		$161.97	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $161.97 / $277.77	Professional		$117.37	$161.97	$277.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $142.97 / $286.97	Professional		$99.37	$142.97	$286.97
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $169.42 / $169.42 / $169.42	Professional		$169.42	$169.42	$169.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.21 / $158.13 / $180.67	Facility		$114.21	$158.13	$180.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $164.92 / $194.91	Professional		$134.41	$164.92	$194.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.14 / $93.82 / $21,571.00	Facility		$84.14	$93.82	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.98 / $187.42 / $323.00	Professional		$124.98	$187.42	$323.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $84.14 / $84.14 / $93.82	Facility		$84.14	$84.14	$93.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $127.73 / $189.99 / $300.00	Professional		$127.73	$189.99	$300.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $166.89 / $234.40	Professional		$121.42	$166.89	$234.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,368.00 / $2,474.00 / $4,951.00	Facility		$1,368.00	$2,474.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.02 / $173.66 / $360.45	Professional		$138.02	$173.66	$360.45