Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.07 / $2,029.15 / $2,861.38	Facility		$748.07	$2,029.15	$2,861.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.07 / $748.07 / $2,079.63	Professional		$748.07	$748.07	$2,079.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,168.85 / $1,823.42 / $5,065.06	Facility		$1,168.85	$1,823.42	$5,065.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.24 / $1,048.77 / $1,644.19	Professional		$779.24	$1,048.77	$1,644.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $59,702.01	Facility		$794.83	$794.83	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Facility		$794.83	$794.83	$794.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $1,202.46	Professional		$794.83	$794.83	$1,202.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $1,202.46	Professional		$794.83	$794.83	$1,202.46