Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.70	Facility		$45.70	$45.70	$45.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $45.70 / $48.56	Professional		$45.70	$45.70	$48.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $160.02 / $243.35	Professional		$147.22	$160.02	$243.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.66 / $268.31 / $327.94	Facility		$213.66	$268.31	$327.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Facility		$48.56	$48.56	$48.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Professional		$48.56	$48.56	$48.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $147.22 / $147.22	Facility		$147.22	$147.22	$147.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $57.13	Professional		$48.56	$48.56	$57.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $161.94	Professional		$40.00	$50.00	$161.94
United Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $57.13 / $70.90	Professional		$57.13	$57.13	$70.90