Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.30 / $332.76 / $356.00	Facility		$310.30	$332.76	$356.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $171.96 / $332.76	Professional		$171.96	$171.96	$332.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.55 / $728.00 / $1,074.45	Professional		$600.55	$728.00	$1,074.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $563.84 / $563.84 / $689.14	Facility		$563.84	$563.84	$689.14
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 $354.90 / $354.90 / $354.90	Professional		$354.90	$354.90	$354.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $354.90 / $354.90 / $354.90	Professional		$354.90	$354.90	$354.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00