Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.60 / $353.60 / $353.60	Facility		$353.60	$353.60	$353.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.23 / $353.60 / $353.60	Professional		$292.23	$353.60	$353.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $13.75 / $40.09	Professional		$13.75	$13.75	$40.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.26 / $48.26 / $55.69	Facility		$48.26	$48.26	$55.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $63.11 / $77.95	Professional		$48.26	$63.11	$77.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.24 / $403.24 / $403.24	Facility		$403.24	$403.24	$403.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.52 / $289.52 / $554.05	Professional		$289.52	$289.52	$554.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $289.52 / $289.52 / $289.52	Professional		$289.52	$289.52	$289.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $53.76 / $63.25	Professional		$46.75	$53.76	$63.25
United Facility/Professional Professional Modifier Low / Median / High Price $255.91 / $358.18 / $518.49	Professional		$255.91	$358.18	$518.49