Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.02 / $7.02 / $460.79	Facility		$7.02	$7.02	$460.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $5.81 / $631.16	Professional		$5.81	$5.81	$631.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $96.80 / $146.53	Professional		$85.07	$96.80	$146.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,795.98 / $12,795.98 / $15,903.19	Facility		$12,795.98	$12,795.98	$15,903.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.24 / $473.24 / $473.24	Facility		$473.24	$473.24	$473.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $533.75 / $533.75	Professional		$171.28	$533.75	$533.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $533.75 / $533.75 / $533.75	Professional		$533.75	$533.75	$533.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00