Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,290.00 / $2,310.00	Facility		$600.00	$1,290.00	$2,310.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $600.00 / $615.00	Professional		$525.00	$600.00	$615.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $102.81 / $975.00	Professional		$73.44	$102.81	$975.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $2,193.75 / $21,564.29	Facility		$750.00	$2,193.75	$21,564.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $784.16 / $1,800.00 / $17,643.50	Professional		$784.16	$1,800.00	$17,643.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $669.34 / $772.20 / $4,280.25	Facility		$669.34	$772.20	$4,280.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.50 / $1,244.50 / $4,221.09	Professional		$1,244.50	$1,244.50	$4,221.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $669.34 / $772.20 / $5,056.39	Facility		$669.34	$772.20	$5,056.39
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $450.00 / $990.53	Professional		$315.00	$450.00	$990.53