Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $714.04 / $1,023.50	Facility		$329.05	$714.04	$1,023.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $332.39 / $808.00	Professional		$329.05	$332.39	$808.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $355.37 / $574.69 / $944.37	Facility		$355.37	$574.69	$944.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $569.78	Professional		$329.05	$329.05	$569.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $329.05 / $559.39	Facility		$329.05	$329.05	$559.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $444.22	Professional		$329.05	$329.05	$444.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.43 / $310.43 / $329.05	Facility		$310.43	$310.43	$329.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $495.45	Professional		$329.05	$329.05	$495.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $495.45	Professional		$329.05	$329.05	$495.45
United Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $355.90	Professional		$329.05	$329.05	$355.90