Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.17 / $3,822.00 / $3,822.00	Facility		$1,757.17	$3,822.00	$3,822.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.77 / $973.77 / $3,822.00	Professional		$973.77	$973.77	$3,822.00
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 $2,664.93 / $2,664.93 / $3,257.13	Facility		$2,664.93	$2,664.93	$3,257.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.74 / $644.74 / $644.74	Facility		$644.74	$644.74	$644.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $175.99 / $175.99	Professional		$175.99	$175.99	$175.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $175.99 / $175.99	Professional		$175.99	$175.99	$175.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00