Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $262.13 / $648.59	Facility		$216.92	$262.13	$648.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $216.92 / $373.32	Professional		$216.91	$216.92	$373.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $204.02 / $315.41	Professional		$187.08	$204.02	$315.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.11 / $121.11 / $199.83	Facility		$121.11	$121.11	$199.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.11 / $121.11 / $121.11	Professional		$121.11	$121.11	$121.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Facility		$238.19	$238.19	$238.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $374.76	Professional		$238.19	$238.19	$374.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $374.76	Professional		$238.19	$238.19	$374.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.02 / $263.66 / $295.30	Professional		$232.02	$263.66	$295.30
United Facility/Professional Professional Modifier Low / Median / High Price $208.10 / $251.91 / $286.95	Professional		$208.10	$251.91	$286.95