Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.52 / $171.52 / $171.52	Facility		$171.52	$171.52	$171.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $171.52 / $182.24	Professional		$171.52	$171.52	$182.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $203.68 / $203.68	Professional		$182.24	$203.68	$203.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Facility		$182.24	$182.24	$182.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $182.24 / $182.24	Professional		$182.24	$182.24	$182.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $182.24 / $182.24 / $4,068.23	Facility		$182.24	$182.24	$4,068.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $182.24 / $214.40	Professional		$182.24	$182.24	$214.40