Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.52 / $1,141.00 / $2,101.63	Facility		$672.52	$1,141.00	$2,101.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.43 / $672.52 / $1,008.78	Professional		$413.43	$672.52	$1,008.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.29 / $924.72 / $1,487.70	Facility		$742.29	$924.72	$1,487.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $336.26 / $907.90	Professional		$98.04	$336.26	$907.90
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $672.52 / $672.52 / $672.52	Professional		$672.52	$672.52	$672.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $714.55 / $882.68 / $1,260.98	Facility		$714.55	$882.68	$1,260.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $714.55 / $1,092.84 / $2,017.56	Professional		$714.55	$1,092.84	$2,017.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.41 / $865.53 / $3,250.95	Facility		$546.41	$865.53	$3,250.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.54 / $546.41 / $1,628.54	Professional		$384.54	$546.41	$1,628.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $546.41 / $865.53 / $3,250.95	Facility		$546.41	$865.53	$3,250.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $384.54 / $494.50 / $1,628.54	Professional		$384.54	$494.50	$1,628.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $462.36 / $462.36 / $462.36	Professional		$462.36	$462.36	$462.36
United Facility/Professional Professional Modifier Low / Median / High Price $248.06 / $504.39 / $1,110.25	Professional		$248.06	$504.39	$1,110.25