Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $128.87 / $157.27	Facility		$61.60	$128.87	$157.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $128.87 / $157.27	Professional		$74.48	$128.87	$157.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $267.62 / $452.54	Professional		$65.02	$267.62	$452.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.11 / $51.11 / $74.41	Facility		$51.11	$51.11	$74.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $55.11 / $72.01	Professional		$55.11	$55.11	$72.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.01 / $401.01 / $401.01	Professional		$401.01	$401.01	$401.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $417.44 / $477.25 / $477.25	Professional		$417.44	$477.25	$477.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $72.69 / $102.01	Professional		$55.10	$72.69	$102.01
United Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $76.66 / $221.29	Professional		$51.78	$76.66	$221.29