Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $536.48 / $797.52	Facility		$48.00	$536.48	$797.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.00 / $691.20	Professional		$38.00	$48.00	$691.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $520.00 / $648.00	Professional		$336.00	$520.00	$648.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.20 / $213.00 / $544.00	Facility		$83.20	$213.00	$544.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $228.70 / $480.00	Professional		$96.14	$228.70	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.00 / $445.55 / $617.54	Professional		$301.00	$445.55	$617.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $434.00 / $599.76	Professional		$294.00	$434.00	$599.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $65.25 / $122.66	Professional		$52.56	$65.25	$122.66
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $55.00 / $78.50	Professional		$40.00	$55.00	$78.50