Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $645.65 / $954.99	Facility		$47.86	$645.65	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $1,023.29	Professional		$30.20	$50.12	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $794.33	Professional		$501.19	$660.69	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $128.82 / $354.81	Facility		$79.43	$128.82	$354.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $398.11	Professional		$120.23	$134.90	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $831.76	Professional		$380.19	$562.34	$831.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $776.25	Professional		$389.05	$562.34	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $158.49	Professional		$52.48	$83.18	$158.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $457.09 / $954.99	Professional		$194.98	$457.09	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $75.86	Professional		$39.81	$54.95	$75.86