Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.88 / $150.88 / $940.00	Facility		$150.88	$150.88	$940.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $171.24 / $256.93	Professional		$150.88	$171.24	$256.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $197.70 / $314.70	Professional		$150.44	$197.70	$314.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $149.69	Professional		$149.69	$149.69	$149.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $149.69	Professional		$149.69	$149.69	$149.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.54 / $182.82 / $255.38	Professional		$135.54	$182.82	$255.38
United Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $195.94 / $347.74	Professional		$100.70	$195.94	$347.74