Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.37 / $1,096.79 / $1,173.00	Facility		$414.37	$1,096.79	$1,173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.63 / $229.63 / $1,096.79	Professional		$229.63	$229.63	$1,096.79
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 $811.65 / $811.65 / $992.01	Facility		$811.65	$811.65	$992.01
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 $549.90 / $549.90 / $549.90	Professional		$549.90	$549.90	$549.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $549.90 / $549.90 / $549.90	Professional		$549.90	$549.90	$549.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00