Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.94 / $406.85 / $556.40	Facility		$175.94	$406.85	$556.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.94 / $175.94 / $489.11	Professional		$175.94	$175.94	$489.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.37 / $11.77 / $428.83	Facility		$6.37	$11.77	$428.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $7.65 / $237.87	Professional		$6.33	$7.65	$237.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $10.31 / $17.53	Facility		$10.31	$10.31	$17.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $10.31 / $10.31	Professional		$10.31	$10.31	$10.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $294.11	Professional		$186.93	$186.93	$294.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $294.11	Professional		$186.93	$186.93	$294.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.72 / $226.96 / $263.27	Professional		$199.72	$226.96	$263.27
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $198.21	Professional		$183.26	$183.26	$198.21