Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.03 / $133.03 / $420.00	Facility		$133.03	$133.03	$420.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $133.03 / $172.28	Professional		$116.57	$133.03	$172.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $84.00 / $125.39	Professional		$70.00	$84.00	$125.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121,498.80 / $148,498.50 / $148,498.50	Facility		$121,498.80	$148,498.50	$148,498.50
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 $288.99 / $303.29 / $363.38	Professional		$288.99	$303.29	$363.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $477.70 / $477.70 / $477.70	Professional		$477.70	$477.70	$477.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $10.93 / $10.93	Professional		$10.93	$10.93	$10.93