Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,850.00 / $2,530.00	Facility		$800.00	$1,850.00	$2,530.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $2,224.00	Professional		$800.00	$800.00	$2,224.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $217.59 / $336.33	Professional		$212.00	$217.59	$336.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59,702.01 / $59,702.01 / $59,702.01	Facility		$59,702.01	$59,702.01	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Facility		$212.00	$212.00	$212.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $1,337.36	Professional		$212.00	$212.00	$1,337.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $1,337.36	Professional		$212.00	$212.00	$1,337.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $294.91	Professional		$212.00	$212.00	$294.91