Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $184.15 / $491.62	Facility		$164.42	$184.15	$491.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $282.97	Professional		$164.42	$164.42	$282.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.57 / $287.16 / $471.89	Facility		$177.57	$287.16	$471.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $190.53 / $346.92	Professional		$190.53	$190.53	$346.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $164.42 / $279.51	Facility		$164.42	$164.42	$279.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $221.97	Professional		$164.42	$164.42	$221.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Facility		$219.62	$219.62	$219.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $219.62 / $319.60	Professional		$219.62	$219.62	$319.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $219.62 / $319.60	Professional		$219.62	$219.62	$319.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $205.52 / $238.40	Professional		$180.86	$205.52	$238.40
United Facility/Professional Professional Modifier Low / Median / High Price $164.11 / $197.30 / $235.16	Professional		$164.11	$197.30	$235.16