Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.99 / $121.86 / $325.31	Facility		$105.99	$121.86	$325.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.99 / $119.61 / $187.25	Professional		$105.99	$119.61	$187.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.92 / $274.44 / $762.32	Facility		$175.92	$274.44	$762.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $106.67 / $170.88	Professional		$106.67	$106.67	$170.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $28.88 / $39.67	Facility		$28.88	$28.88	$39.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Facility		$131.35	$131.35	$131.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $131.35 / $187.97	Professional		$131.35	$131.35	$187.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $131.35 / $187.97	Professional		$131.35	$131.35	$187.97
United Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $132.53 / $155.28	Professional		$111.42	$132.53	$155.28