Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.02 / $1,591.00 / $2,606.53	Facility		$677.02	$1,591.00	$2,606.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.39 / $677.02 / $693.94	Professional		$592.39	$677.02	$693.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.94 / $435.91 / $1,098.45	Professional		$317.94	$435.91	$1,098.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $2,475.34 / $24,325.76	Facility		$846.27	$2,475.34	$24,325.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $884.57 / $2,031.05 / $19,902.90	Professional		$884.57	$2,031.05	$19,902.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.26 / $871.33 / $4,900.22	Facility		$755.26	$871.33	$4,900.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,762.59 / $4,762.59 / $4,762.59	Professional		$4,762.59	$4,762.59	$4,762.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $755.26 / $871.33 / $4,900.22	Facility		$755.26	$871.33	$4,900.22
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $507.76 / $1,108.60	Professional		$355.43	$507.76	$1,108.60