Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.97 / $2,113.00 / $10,268.00	Facility		$255.97	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $245.73 / $501.65	Professional		$158.19	$245.73	$501.65
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 $120.25 / $203.30 / $405.68	Professional		$120.25	$203.30	$405.68
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $171.74 / $171.74 / $171.74	Professional		$171.74	$171.74	$171.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.57 / $242.22 / $296.36	Facility		$197.57	$242.22	$296.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.94 / $290.16 / $452.66	Professional		$167.94	$290.16	$452.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $165.28 / $21,571.00	Facility		$148.21	$165.28	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.58 / $255.35 / $464.06	Professional		$159.58	$255.35	$464.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $148.21 / $165.28	Facility		$148.21	$148.21	$165.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $168.26 / $266.95 / $433.30	Professional		$168.26	$266.95	$433.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $204.10 / $314.89	Professional		$32.22	$204.10	$314.89
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $881.00 / $2,833.00	Facility		$226.00	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.46 / $263.33 / $555.65	Professional		$211.46	$263.33	$555.65