Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.16 / $318.54 / $570.41	Facility		$148.16	$318.54	$570.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $148.16 / $151.86	Professional		$129.63	$148.16	$151.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $238.05 / $448.58	Professional		$194.56	$238.05	$448.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $541.71 / $5,328.29	Facility		$185.20	$541.71	$5,328.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $444.48 / $4,359.50	Professional		$193.76	$444.48	$4,359.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.28 / $190.68 / $1,056.94	Facility		$165.28	$190.68	$1,056.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.09 / $1,042.09 / $1,042.09	Professional		$1,042.09	$1,042.09	$1,042.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $165.28 / $190.68 / $1,248.58	Facility		$165.28	$190.68	$1,248.58
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $244.59	Professional		$77.78	$111.12	$244.59