Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,553.60 / $3,113.60	Facility		$1,120.00	$2,553.60	$3,113.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,120.00 / $1,939.06	Professional		$1,120.00	$1,120.00	$1,939.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $640.00 / $680.00	Professional		$0.02	$640.00	$680.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $780.51 / $953.56 / $1,165.46	Facility		$780.51	$953.56	$1,165.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Facility		$659.12	$659.12	$659.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $140.96 / $226.30	Professional		$129.93	$140.96	$226.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,947.54	Professional		$1,400.00	$1,400.00	$1,947.54