Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.07 / $344.07 / $960.00	Facility		$344.07	$344.07	$960.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.07 / $344.07 / $405.94	Professional		$344.07	$344.07	$405.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $421.88 / $494.66 / $795.07	Facility		$421.88	$494.66	$795.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $211.55 / $579.50	Professional		$203.55	$211.55	$579.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $509.96 / $509.96 / $602.67	Facility		$509.96	$509.96	$602.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $486.78 / $486.78 / $486.78	Professional		$486.78	$486.78	$486.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $208.25 / $208.25	Professional		$208.25	$208.25	$208.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $208.25 / $331.81	Professional		$208.25	$208.25	$331.81
United Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $348.40 / $576.60	Professional		$154.19	$348.40	$576.60