Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.30 / $369.77 / $680.82	Facility		$186.30	$369.77	$680.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $244.90 / $369.77	Professional		$244.90	$244.90	$369.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.65 / $596.92 / $1,658.15	Facility		$382.65	$596.92	$1,658.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $38.72 / $260.20	Professional		$32.00	$38.72	$260.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.22 / $270.22 / $283.73	Facility		$270.22	$270.22	$283.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $270.22 / $270.22 / $270.22	Professional		$270.22	$270.22	$270.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Facility		$260.20	$260.20	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $306.12	Professional		$260.20	$260.20	$306.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $306.12	Professional		$260.20	$260.20	$306.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $306.12	Professional		$255.10	$255.10	$306.12