Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.14 / $968.28 / $1,497.68	Facility		$484.14	$968.28	$1,497.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.57 / $486.38 / $1,103.83	Professional		$481.57	$486.38	$1,103.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $522.87 / $779.47 / $1,379.80	Facility		$522.87	$779.47	$1,379.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $816.26	Professional		$484.14	$484.14	$816.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $481.57 / $484.14 / $723.97	Facility		$481.57	$484.14	$723.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $481.57 / $484.14 / $653.59	Professional		$481.57	$484.14	$653.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.73 / $456.73 / $484.14	Facility		$456.73	$456.73	$484.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $714.37	Professional		$484.14	$484.14	$714.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $714.37	Professional		$484.14	$484.14	$714.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $529.72 / $605.17 / $698.27	Professional		$529.72	$605.17	$698.27
United Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $523.65	Professional		$484.14	$484.14	$523.65