Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,128.00 / $1,848.00	Facility		$480.00	$1,128.00	$1,848.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $480.00 / $492.00	Professional		$420.00	$480.00	$492.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.42 / $309.06 / $778.80	Professional		$225.42	$309.06	$778.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,755.00 / $17,249.58	Facility		$600.00	$1,755.00	$17,249.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $627.26 / $1,440.00 / $14,113.31	Professional		$627.26	$1,440.00	$14,113.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.47 / $617.76 / $3,474.20	Facility		$535.47	$617.76	$3,474.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,377.63 / $3,377.63 / $3,377.63	Professional		$3,377.63	$3,377.63	$3,377.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $535.47 / $617.76 / $3,474.20	Facility		$535.47	$617.76	$3,474.20
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $792.42	Professional		$252.00	$360.00	$792.42