Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.16 / $351.04 / $868.00	Facility		$200.16	$351.04	$868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.08 / $208.35 / $320.48	Professional		$182.08	$208.35	$320.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.30 / $298.89 / $513.77	Professional		$228.30	$298.89	$513.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $151.22 / $211.07	Facility		$44.83	$151.22	$211.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $164.94 / $246.25	Professional		$48.35	$164.94	$246.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.42 / $214.42 / $214.42	Facility		$214.42	$214.42	$214.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.69 / $295.02 / $537.88	Professional		$184.69	$295.02	$537.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $184.69 / $272.64 / $492.50	Professional		$184.69	$272.64	$492.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $140.67 / $241.26	Professional		$30.05	$140.67	$241.26
United Facility/Professional Facility Modifier Low / Median / High Price $467.00 / $1,078.00 / $5,803.00	Facility		$467.00	$1,078.00	$5,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $285.99 / $489.10	Professional		$172.70	$285.99	$489.10