Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.60 / $1,542.84 / $2,762.76	Facility		$717.60	$1,542.84	$2,762.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.60 / $717.60 / $852.15	Professional		$717.60	$717.60	$852.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.28 / $658.39	Professional		$10.28	$10.28	$658.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $809.99 / $1,166.09 / $23,901.35	Facility		$809.99	$1,166.09	$23,901.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $937.67 / $1,961.14 / $24,820.64	Professional		$937.67	$1,961.14	$24,820.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.66 / $1,020.34 / $5,193.93	Facility		$441.66	$1,020.34	$5,193.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.84 / $1,030.84 / $1,288.56	Professional		$1,030.84	$1,030.84	$1,288.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $441.66 / $583.04 / $5,193.93	Facility		$441.66	$583.04	$5,193.93
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $538.20 / $1,446.86	Professional		$376.74	$538.20	$1,446.86