Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $307.27 / $438.51	Facility		$141.60	$307.27	$438.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.31 / $143.02 / $307.27	Professional		$141.31	$143.02	$307.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.93 / $227.98 / $354.00	Facility		$152.93	$227.98	$354.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $238.73	Professional		$141.60	$141.60	$238.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $141.60 / $240.72	Facility		$141.60	$141.60	$240.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $191.16	Professional		$141.60	$141.60	$191.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $133.59 / $141.60	Facility		$133.59	$133.59	$141.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $194.41	Professional		$141.60	$141.60	$194.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $194.41	Professional		$141.60	$141.60	$194.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.10 / $177.00 / $204.45	Professional		$155.10	$177.00	$204.45
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $184.36	Professional		$141.60	$141.60	$184.36