Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $236.70 / $631.91	Facility		$211.34	$236.70	$631.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $211.34 / $416.52	Professional		$165.00	$211.34	$416.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.98 / $485.13 / $1,347.58	Facility		$310.98	$485.13	$1,347.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.47 / $211.47 / $356.53	Professional		$211.47	$211.47	$356.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.26 / $166.12 / $282.39	Facility		$129.26	$166.12	$282.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.05 / $166.12 / $211.34	Professional		$123.05	$166.12	$211.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Facility		$232.20	$232.20	$232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $335.27	Professional		$232.20	$232.20	$335.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $335.27	Professional		$232.20	$232.20	$335.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.27 / $220.25 / $260.86	Professional		$172.27	$220.25	$260.86
United Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $303.33 / $303.33	Facility		$303.33	$303.33	$303.33
United Facility/Professional Professional Modifier Low / Median / High Price $196.95 / $244.64 / $275.11	Professional		$196.95	$244.64	$275.11