Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $102.00 / $102.00	Facility		$102.00	$102.00	$102.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $102.00 / $102.00	Professional		$49.25	$102.00	$102.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $87.66 / $87.66	Professional		$5.74	$87.66	$87.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.26 / $107.26 / $111.39	Facility		$107.26	$107.26	$111.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Facility		$93.13	$93.13	$93.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Facility		$93.13	$93.13	$93.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
United Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $91.30 / $125.17	Professional		$91.30	$91.30	$125.17