Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $182.92 / $3,945.35	Facility		$134.19	$182.92	$3,945.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $134.19 / $312.02	Professional		$130.66	$134.19	$312.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.93 / $234.36 / $385.13	Facility		$144.93	$234.36	$385.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $135.59 / $254.96	Professional		$134.19	$135.59	$254.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $134.19 / $228.12	Facility		$134.19	$134.19	$228.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $134.19 / $181.16	Professional		$134.19	$134.19	$181.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $126.60 / $177.04	Facility		$126.60	$126.60	$177.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $177.04 / $257.56	Professional		$177.04	$177.04	$257.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $177.04 / $289.69	Professional		$177.04	$177.04	$289.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.72 / $167.73 / $200.50	Professional		$143.72	$167.73	$200.50
United Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $161.03 / $195.02	Professional		$127.48	$161.03	$195.02