Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $721.92 / $1,182.72	Facility		$384.00	$721.92	$1,182.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.56 / $134.40 / $364.80	Professional		$130.56	$134.40	$364.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $38.82 / $498.43	Professional		$28.44	$38.82	$498.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,123.20 / $11,037.77	Facility		$384.00	$1,123.20	$11,037.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $401.37 / $921.60 / $10,624.58	Professional		$401.37	$921.60	$10,624.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $197.68 / $2,191.48	Facility		$171.35	$197.68	$2,191.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,081.08 / $1,081.08 / $1,081.08	Professional		$1,081.08	$1,081.08	$1,081.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $197.68 / $2,191.48	Facility		$171.35	$197.68	$2,191.48
United Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $115.20 / $418.56	Professional		$80.64	$115.20	$418.56