Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $307.52 / $445.00	Facility		$29.40	$307.52	$445.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $16.29 / $307.52	Professional		$16.29	$16.29	$307.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $67.20 / $99.18	Professional		$60.00	$67.20	$99.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.22 / $361.22 / $441.49	Facility		$361.22	$361.22	$441.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.11 / $381.11 / $381.11	Facility		$381.11	$381.11	$381.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $281.33 / $281.33	Professional		$281.33	$281.33	$281.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $281.33 / $281.33	Professional		$281.33	$281.33	$281.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00