Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $142.38 / $142.38	Facility		$142.38	$142.38	$142.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $142.38 / $151.27	Professional		$142.38	$142.38	$151.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $142.38 / $142.38	Professional		$35.60	$142.38	$142.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.92 / $94.21 / $121.67	Facility		$81.92	$94.21	$121.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $81.92	Professional		$81.92	$81.92	$81.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $177.97	Professional		$151.27	$151.27	$177.97
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $210.65	Professional		$161.79	$161.79	$210.65