Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $630.00 / $630.00	Professional		$630.00	$630.00	$630.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $1.00	Professional		$0.02	$0.02	$1.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $59,499.41 / $61,249.39	Facility		$48,999.51	$59,499.41	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $1,051.59 / $1,051.59	Facility		$64.00	$1,051.59	$1,051.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.86 / $893.86 / $1,051.59	Professional		$893.86	$893.86	$1,051.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,051.59 / $1,051.59 / $1,051.59	Facility		$1,051.59	$1,051.59	$1,051.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $893.86 / $1,051.59 / $1,051.59	Professional		$893.86	$1,051.59	$1,051.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00