Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $1,336.00 / $2,258.00	Facility		$710.00	$1,336.00	$2,258.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,560.41 / $1,560.41 / $1,560.41	Professional		$1,560.41	$1,560.41	$1,560.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $945.97	Facility		$700.00	$700.00	$945.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $540.00 / $600.00	Professional		$500.00	$540.00	$600.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $945.97	Facility		$700.00	$700.00	$945.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $540.00 / $600.00	Professional		$500.00	$540.00	$600.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00