Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.33 / $664.33 / $1,630.00	Facility		$664.33	$664.33	$1,630.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.41 / $664.33 / $763.36	Professional		$581.41	$664.33	$763.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,161.41 / $1,360.55 / $3,525.05	Facility		$1,161.41	$1,360.55	$3,525.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.71 / $661.43 / $1,625.23	Professional		$482.71	$661.43	$1,625.23
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,051.33 / $1,051.33 / $1,051.33	Professional		$1,051.33	$1,051.33	$1,051.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $927.65 / $1,236.85 / $1,669.76	Facility		$927.65	$1,236.85	$1,669.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $808.34 / $1,119.24 / $2,648.36	Professional		$808.34	$1,119.24	$2,648.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $756.07 / $1,457.34	Facility		$756.07	$756.07	$1,457.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $551.92 / $825.98	Professional		$551.92	$551.92	$825.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $756.07 / $756.07	Facility		$756.07	$756.07	$756.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $756.07 / $756.07	Professional		$551.92	$756.07	$756.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $668.68 / $919.43 / $1,205.37	Professional		$668.68	$919.43	$1,205.37
United Facility/Professional Professional Modifier Low / Median / High Price $411.37 / $594.76 / $849.66	Professional		$411.37	$594.76	$849.66