Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,355.00 / $3,174.09 / $3,174.09	Facility		$1,355.00	$3,174.09	$3,174.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.45 / $429.48 / $441.16	Professional		$387.45	$429.48	$441.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $35.52 / $56.51	Professional		$32.00	$35.52	$56.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43,749.56 / $57,049.43 / $61,249.39	Facility		$43,749.56	$57,049.43	$61,249.39
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 $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $60.00	Professional		$35.00	$50.00	$60.00