Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.25 / $291.25 / $1,355.00	Facility		$291.25	$291.25	$1,355.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.71 / $291.25 / $311.20	Professional		$242.71	$291.25	$311.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.07 / $559.35 / $825.00	Professional		$431.07	$559.35	$825.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.88 / $210.88 / $257.75	Facility		$210.88	$210.88	$257.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $263.39 / $263.39	Facility		$263.39	$263.39	$263.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $116.04	Professional		$116.04	$116.04	$116.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $116.04	Professional		$116.04	$116.04	$116.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00