Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.41 / $191.41 / $818.00	Facility		$191.41	$191.41	$818.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $191.41 / $225.83	Professional		$191.41	$191.41	$225.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.69 / $275.18 / $442.30	Facility		$234.69	$275.18	$442.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.17 / $113.22 / $322.37	Professional		$102.17	$113.22	$322.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.69 / $283.69 / $335.27	Facility		$283.69	$283.69	$335.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $270.80 / $270.80 / $270.80	Professional		$270.80	$270.80	$270.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $184.57	Professional		$119.00	$119.00	$184.57
United Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $193.61 / $320.74	Professional		$85.78	$193.61	$320.74