Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.50 / $399.50 / $399.50	Facility		$399.50	$399.50	$399.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $399.50 / $424.47	Professional		$399.50	$399.50	$424.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.05 / $399.50 / $474.41	Professional		$189.05	$399.50	$474.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $66.51 / $81.30	Facility		$66.51	$66.51	$81.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Facility		$424.47	$424.47	$424.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Facility		$424.47	$424.47	$424.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $499.38	Professional		$424.47	$424.47	$499.38
United Facility/Professional Professional Modifier Low / Median / High Price $499.42 / $499.42 / $604.29	Professional		$499.42	$499.42	$604.29