Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $751.06 / $1,076.65	Facility		$346.11	$751.06	$1,076.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $349.56 / $751.06	Professional		$346.11	$349.56	$751.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.80 / $557.24 / $986.41	Facility		$373.80	$557.24	$986.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $599.32	Professional		$346.11	$346.11	$599.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $346.11 / $588.39	Facility		$346.11	$346.11	$588.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $467.25	Professional		$346.11	$346.11	$467.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.52 / $326.52 / $346.11	Facility		$326.52	$326.52	$346.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $525.11	Professional		$346.11	$346.11	$525.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $525.11	Professional		$346.11	$346.11	$525.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.72 / $432.73 / $501.85	Professional		$380.72	$432.73	$501.85
United Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Facility		$346.11	$346.11	$346.11
United Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $450.64	Professional		$346.11	$346.11	$450.64