Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.41 / $289.83 / $683.07	Facility		$179.41	$289.83	$683.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.45 / $239.86 / $393.16	Professional		$228.45	$239.86	$393.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.74 / $550.27 / $1,528.54	Facility		$352.74	$550.27	$1,528.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.45 / $228.45 / $382.29	Professional		$228.45	$228.45	$382.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $64.23 / $88.21	Facility		$64.23	$64.23	$88.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Facility		$263.38	$263.38	$263.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.38 / $263.38 / $362.08	Professional		$263.38	$263.38	$362.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $263.38 / $263.38 / $362.08	Professional		$263.38	$263.38	$362.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.40 / $282.19 / $312.06	Professional		$223.40	$282.19	$312.06