Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.05 / $1,139.63 / $2,040.73	Facility		$530.05	$1,139.63	$2,040.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.05 / $530.05 / $549.94	Professional		$530.05	$530.05	$549.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $12.34 / $34.53	Professional		$10.48	$12.34	$34.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $563.19 / $861.35 / $17,652.38	Facility		$563.19	$861.35	$17,652.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $692.52 / $1,448.40 / $18,331.32	Professional		$692.52	$1,448.40	$18,331.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.24 / $430.68 / $3,836.58	Facility		$326.24	$430.68	$3,836.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.16 / $761.16 / $951.45	Professional		$761.16	$761.16	$951.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $326.24 / $430.68 / $3,836.58	Facility		$326.24	$430.68	$3,836.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $397.55 / $867.98	Professional		$278.27	$397.55	$867.98