Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Facility		$23.17	$23.17	$23.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Professional		$23.17	$23.17	$23.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $35.86	Professional		$22.00	$22.00	$35.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61,249.39 / $61,249.39 / $61,249.39	Facility		$61,249.39	$61,249.39	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $70.50	Professional		$16.39	$16.39	$70.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $93.00 / $105.00	Professional		$16.39	$93.00	$105.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00