Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.42 / $223.76 / $498.00	Facility		$203.42	$223.76	$498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.42 / $203.42 / $368.33	Professional		$203.42	$203.42	$368.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $11.10 / $19.41	Professional		$8.50	$11.10	$19.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $69.56 / $195.37	Facility		$46.08	$69.56	$195.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $59.90 / $332.13	Professional		$48.38	$59.90	$332.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.37 / $255.60 / $394.39	Professional		$195.37	$255.60	$394.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $202.70 / $264.33 / $383.97	Professional		$202.70	$264.33	$383.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $58.02 / $74.52	Professional		$46.07	$58.02	$74.52
United Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $264.61 / $424.00	Professional		$187.02	$264.61	$424.00