Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.01 / $161.00 / $420.84	Facility		$133.01	$161.00	$420.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $242.23	Professional		$140.75	$140.75	$242.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.01 / $245.82 / $403.95	Facility		$152.01	$245.82	$403.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.37 / $147.37 / $255.18	Professional		$147.37	$147.37	$255.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $140.75 / $239.28	Facility		$140.75	$140.75	$239.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $190.01	Professional		$140.75	$140.75	$190.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Facility		$161.82	$161.82	$161.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $161.82 / $244.91	Professional		$161.82	$161.82	$244.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $161.82 / $244.91	Professional		$161.82	$161.82	$244.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.82 / $175.93 / $204.08	Professional		$154.82	$175.93	$204.08
United Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $170.49 / $174.82	Professional		$137.26	$170.49	$174.82