Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.99 / $249.99 / $1,096.00	Facility		$249.99	$249.99	$1,096.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $174.10 / $314.16	Professional		$89.88	$174.10	$314.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $728.00 / $1,074.45	Professional		$650.00	$728.00	$1,074.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $437.40 / $437.40 / $534.60	Facility		$437.40	$437.40	$534.60
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 $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00