Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.56 / $447.22 / $920.00	Facility		$406.56	$447.22	$920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.22 / $406.56 / $735.51	Professional		$398.22	$406.56	$735.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $22.20 / $38.83	Professional		$17.00	$22.20	$38.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.87 / $139.31 / $390.45	Facility		$92.87	$139.31	$390.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.51 / $120.73 / $663.77	Professional		$97.51	$120.73	$663.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.45 / $511.24 / $787.55	Professional		$390.45	$511.24	$787.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $404.68 / $528.28 / $767.30	Professional		$404.68	$528.28	$767.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.85 / $116.94 / $150.20	Professional		$81.85	$116.94	$150.20
United Facility/Professional Professional Modifier Low / Median / High Price $383.82 / $528.35 / $859.06	Professional		$383.82	$528.35	$859.06