Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $338.84 / $501.19	Facility		$239.88	$338.84	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $512.86	Professional		$30.20	$50.12	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $407.38	Professional		$251.19	$323.59	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $64.57 / $177.83	Facility		$39.81	$64.57	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $199.53	Professional		$54.95	$66.07	$199.53
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 $169.82 / $251.19 / $363.08	Professional		$169.82	$251.19	$363.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $346.74	Professional		$173.78	$245.47	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $70.79	Professional		$37.15	$52.48	$70.79
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $204.17 / $436.52	Professional		$87.10	$204.17	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $75.86	Professional		$39.81	$54.95	$75.86