Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.12 / $301.12 / $743.00	Facility		$301.12	$301.12	$743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.12 / $301.12 / $355.26	Professional		$301.12	$301.12	$355.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.21 / $432.90 / $695.81	Facility		$369.21	$432.90	$695.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $178.13 / $507.15	Professional		$160.74	$178.13	$507.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.56 / $445.70 / $499.18	Facility		$356.56	$445.70	$499.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $356.56 / $463.53 / $855.74	Professional		$356.56	$463.53	$855.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $170.00	Professional		$170.00	$170.00	$170.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $290.37	Professional		$170.00	$170.00	$290.37
United Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $304.89 / $504.59	Professional		$134.94	$304.89	$504.59