Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.00 / $211.11 / $573.84	Facility		$166.00	$211.11	$573.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.91 / $191.92 / $263.56	Professional		$191.91	$191.92	$263.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.27 / $335.19 / $550.80	Facility		$207.27	$335.19	$550.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $171.72 / $311.83	Professional		$171.72	$171.72	$311.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $326.26	Facility		$191.92	$191.92	$326.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.92 / $191.92 / $259.08	Professional		$191.92	$191.92	$259.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Facility		$188.55	$188.55	$188.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $229.08	Professional		$188.55	$188.55	$229.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $229.08	Professional		$188.55	$188.55	$229.08
United Facility/Professional Professional Modifier Low / Median / High Price $159.93 / $190.24 / $220.54	Professional		$159.93	$190.24	$220.54