Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $139.19 / $445.00	Facility		$139.19	$139.19	$445.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $147.90	Professional		$139.19	$139.19	$147.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $36.00 / $63.33	Professional		$30.00	$36.00	$63.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $50.71 / $61.97	Facility		$50.71	$50.71	$61.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $174.00	Professional		$147.90	$147.90	$174.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $179.95	Professional		$145.00	$145.00	$179.95