Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.63 / $256.63 / $800.00	Facility		$256.63	$256.63	$800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.13 / $256.63 / $355.18	Professional		$250.13	$256.63	$355.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.31 / $284.26 / $690.61	Professional		$263.31	$284.26	$690.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $394.19 / $525.58 / $709.53	Facility		$394.19	$525.58	$709.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $342.15 / $525.58 / $1,125.36	Professional		$342.15	$525.58	$1,125.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.61 / $420.61 / $616.85	Facility		$420.61	$420.61	$616.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $357.52 / $420.61	Professional		$357.52	$357.52	$420.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $420.61 / $420.61 / $420.61	Facility		$420.61	$420.61	$420.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $420.61 / $420.61	Professional		$357.52	$420.61	$420.61
United Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $262.20 / $363.85	Professional		$174.80	$262.20	$363.85