Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $344.00 / $1,339.00	Facility		$344.00	$344.00	$1,339.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.00 / $344.00 / $344.00	Professional		$344.00	$344.00	$344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.72 / $5.74	Professional		$1.72	$1.72	$5.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $59,702.01 / $59,702.01	Facility		$66.51	$59,702.01	$59,702.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $66.51 / $66.51	Professional		$66.51	$66.51	$66.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $210.00 / $210.00	Professional		$210.00	$210.00	$210.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $210.00 / $210.00	Professional		$210.00	$210.00	$210.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00