Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.86 / $952.54 / $1,162.48	Facility		$435.86	$952.54	$1,162.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.00 / $952.54 / $1,162.48	Professional		$527.00	$952.54	$1,162.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.28 / $1,006.39 / $2,063.14	Facility		$467.28	$1,006.39	$2,063.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.14 / $441.31 / $746.87	Professional		$318.14	$441.31	$746.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $357.59 / $357.59 / $520.70	Facility		$357.59	$357.59	$520.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $385.64 / $385.64 / $509.63	Professional		$385.64	$385.64	$509.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.24 / $608.24 / $608.24	Professional		$608.24	$608.24	$608.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $588.62 / $606.12 / $606.12	Professional		$588.62	$606.12	$606.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $329.29 / $428.46 / $569.63	Professional		$329.29	$428.46	$569.63
United Facility/Professional Professional Modifier Low / Median / High Price $376.75 / $477.30 / $719.91	Professional		$376.75	$477.30	$719.91