Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $295.68 / $616.00	Facility		$160.00	$295.68	$616.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $160.00 / $164.00	Professional		$128.00	$160.00	$164.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $15.40 / $259.60	Professional		$11.28	$15.40	$259.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $585.00 / $5,746.71	Facility		$200.00	$585.00	$5,746.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.97 / $480.00 / $4,701.85	Professional		$208.97	$480.00	$4,701.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.49 / $205.92 / $1,141.40	Facility		$178.49	$205.92	$1,141.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,125.85 / $1,125.85 / $1,125.85	Professional		$1,125.85	$1,125.85	$1,125.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $178.49 / $205.92 / $1,348.37	Facility		$178.49	$205.92	$1,348.37
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $120.00 / $322.60	Professional		$84.00	$120.00	$322.60