Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.21 / $4,886.00 / $11,581.00	Facility		$638.21	$4,886.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.92 / $618.69 / $1,146.65	Professional		$424.92	$618.69	$1,146.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.47 / $544.99 / $1,034.07	Professional		$372.47	$544.99	$1,034.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $558.70 / $817.49 / $1,551.10	Professional	50	$558.70	$817.49	$1,551.10
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $474.71 / $474.71 / $474.71	Professional		$474.71	$474.71	$474.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $546.13 / $669.54 / $1,289.18	Facility		$546.13	$669.54	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $464.21 / $729.56 / $1,138.13	Professional		$464.21	$729.56	$1,138.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.88 / $949.77 / $21,571.00	Facility		$754.88	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.71 / $658.09 / $1,170.69	Professional		$423.71	$658.09	$1,170.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $949.77 / $1,059.09	Facility		$949.77	$949.77	$1,059.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $441.10 / $673.25 / $1,056.18	Professional		$441.10	$673.25	$1,056.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $439.17 / $783.18	Professional		$76.13	$439.17	$783.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $538.32 / $702.79 / $1,360.46	Professional		$538.32	$702.79	$1,360.46