Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.57 / $477.57 / $477.57	Facility		$477.57	$477.57	$477.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.57 / $497.52 / $655.42	Professional		$477.57	$497.52	$655.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.72 / $381.80 / $882.87	Professional		$345.72	$381.80	$882.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.37 / $88.91 / $795.83	Facility		$60.37	$88.91	$795.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $85.82 / $772.34	Professional		$57.79	$85.82	$772.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.77 / $894.77 / $894.77	Facility		$894.77	$894.77	$894.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $659.87 / $1,335.94	Professional		$70.28	$659.87	$1,335.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $70.28 / $659.87	Professional		$65.00	$70.28	$659.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $101.71 / $699.23	Professional		$47.67	$101.71	$699.23
United Facility/Professional Professional Modifier Low / Median / High Price $257.02 / $364.56 / $514.05	Professional		$257.02	$364.56	$514.05