Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $55.15 / $86.00	Facility		$55.15	$55.15	$86.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $55.15 / $58.60	Professional		$55.15	$55.15	$58.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $55.15 / $65.48	Professional		$45.33	$55.15	$65.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $66.51 / $81.30	Facility		$66.51	$66.51	$81.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Professional		$58.60	$58.60	$58.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $68.94	Professional		$58.60	$58.60	$68.94
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 $68.94 / $68.94 / $88.11	Professional		$68.94	$68.94	$88.11