Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.17 / $109.40 / $237.00	Facility		$105.17	$109.40	$237.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $109.40	Professional		$58.28	$58.28	$109.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $33.60 / $49.59	Professional		$30.00	$33.60	$49.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.20 / $279.20 / $341.25	Facility		$279.20	$279.20	$341.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $117.06 / $117.06	Facility		$117.06	$117.06	$117.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $114.90 / $114.90	Professional		$114.90	$114.90	$114.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $114.90 / $114.90	Professional		$114.90	$114.90	$114.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00