Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $166.83 / $166.83	Facility		$166.83	$166.83	$166.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.83 / $166.83 / $177.26	Professional		$166.83	$166.83	$177.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $166.84 / $198.11	Professional		$156.41	$166.84	$198.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $432.39 / $432.39 / $528.48	Facility		$432.39	$432.39	$528.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Facility		$177.26	$177.26	$177.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Professional		$177.26	$177.26	$177.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Facility		$177.26	$177.26	$177.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $208.54	Professional		$177.26	$177.26	$208.54