Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $960.00 / $960.00	Facility		$960.00	$960.00	$960.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $960.00 / $1,020.00	Professional		$960.00	$960.00	$1,020.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $960.00 / $960.00	Professional		$100.84	$960.00	$960.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $66.51 / $81.30	Facility		$66.51	$66.51	$81.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Facility		$1,020.00	$1,020.00	$1,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Facility		$1,020.00	$1,020.00	$1,020.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,200.00	Professional		$1,020.00	$1,020.00	$1,200.00
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 Facility Modifier Low / Median / High Price $788.99 / $788.99 / $788.99	Facility		$788.99	$788.99	$788.99
United Facility/Professional Professional Modifier Low / Median / High Price $788.99 / $788.99 / $979.14	Professional		$788.99	$788.99	$979.14