Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,898.48 / $2,159.84 / $2,309.00	Facility		$1,898.48	$2,159.84	$2,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.10 / $1,052.08 / $2,159.84	Professional		$687.10	$1,052.08	$2,159.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $560.00 / $826.50	Professional		$500.00	$560.00	$826.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,037.15 / $1,037.15 / $1,267.63	Facility		$1,037.15	$1,037.15	$1,267.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.61 / $1,056.61 / $1,056.61	Professional		$1,056.61	$1,056.61	$1,056.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,056.61 / $1,056.61 / $1,056.61	Professional		$1,056.61	$1,056.61	$1,056.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00