Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $373.15 / $559.73	Facility		$261.14	$373.15	$559.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $295.00 / $780.84	Professional		$258.63	$295.00	$780.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.04 / $456.10 / $749.50	Facility		$282.04	$456.10	$749.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.78 / $246.20 / $424.54	Professional		$233.78	$246.20	$424.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $261.14 / $392.37	Facility		$261.14	$261.14	$392.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $261.14 / $352.55	Professional		$261.14	$261.14	$352.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Facility		$269.49	$269.49	$269.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $269.49 / $392.18	Professional		$269.49	$269.49	$392.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $269.49 / $392.18	Professional		$269.49	$269.49	$392.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $287.26 / $326.43 / $378.66	Professional		$287.26	$326.43	$378.66
United Facility/Professional Professional Modifier Low / Median / High Price $240.16 / $283.93 / $315.20	Professional		$240.16	$283.93	$315.20