Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $741.00 / $741.00	Facility		$741.00	$741.00	$741.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $58.76 / $58.76	Professional		$36.64	$58.76	$58.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.42 / $532.47 / $833.55	Facility		$333.42	$532.47	$833.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $11.04 / $19.71	Professional		$8.16	$11.04	$19.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59,702.01 / $59,702.01 / $59,702.01	Facility		$59,702.01	$59,702.01	$59,702.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Professional		$3.20	$3.20	$3.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Professional		$3.20	$3.20	$3.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00