Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $201.82 / $538.79	Facility		$180.20	$201.82	$538.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $310.12	Professional		$180.20	$180.20	$310.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.95 / $425.81 / $1,182.81	Facility		$272.95	$425.81	$1,182.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $183.67 / $329.23	Professional		$173.28	$183.67	$329.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $122.97 / $156.07	Facility		$104.52	$122.97	$156.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Facility		$203.81	$203.81	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $287.85	Professional		$203.81	$203.81	$287.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $287.85	Professional		$203.81	$203.81	$287.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.37 / $176.56 / $204.81	Professional		$155.37	$176.56	$204.81
United Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $205.63 / $220.18	Professional		$172.87	$205.63	$220.18