Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.78 / $396.78 / $396.78	Facility		$396.78	$396.78	$396.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.47 / $299.14 / $410.60	Professional		$234.47	$299.14	$410.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $24.52 / $275.91	Professional		$20.00	$24.52	$275.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.07 / $501.07 / $520.34	Facility		$501.07	$501.07	$520.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.65 / $487.65 / $487.65	Facility		$487.65	$487.65	$487.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $359.63 / $359.63	Professional		$359.63	$359.63	$359.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $487.65 / $487.65 / $487.65	Facility		$487.65	$487.65	$487.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $359.63 / $359.63	Professional		$359.63	$359.63	$359.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.77 / $259.16 / $399.83	Professional		$172.77	$259.16	$399.83