Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.51 / $354.35 / $684.18	Facility		$132.51	$354.35	$684.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $152.38 / $350.43	Professional		$132.51	$152.38	$350.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.38 / $472.62 / $539.46	Facility		$446.38	$472.62	$539.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.54 / $217.16 / $378.79	Professional		$152.54	$217.16	$378.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $86.02 / $165.86	Facility		$38.72	$86.02	$165.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $81.08 / $139.59	Professional		$41.77	$81.08	$139.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.84 / $237.38 / $412.43	Professional		$122.84	$237.38	$412.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $122.84 / $229.45 / $417.86	Professional		$122.84	$229.45	$417.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $89.46 / $175.61	Professional		$40.43	$89.46	$175.61
United Facility/Professional Professional Modifier Low / Median / High Price $168.34 / $239.42 / $381.19	Professional		$168.34	$239.42	$381.19