Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.80 / $1,040.33 / $1,112.00	Facility		$448.80	$1,040.33	$1,112.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $248.71 / $1,040.33	Professional		$248.71	$248.71	$1,040.33
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 $667.47 / $667.47 / $815.79	Facility		$667.47	$667.47	$815.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.08 / $404.08 / $404.08	Facility		$404.08	$404.08	$404.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.56 / $324.56 / $324.56	Professional		$324.56	$324.56	$324.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $324.56 / $324.56 / $324.56	Professional		$324.56	$324.56	$324.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.50 / $207.50 / $207.50	Professional		$207.50	$207.50	$207.50