Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $227.26 / $348.75	Facility		$104.73	$227.26	$348.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $106.00 / $261.83	Professional		$104.73	$106.00	$261.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.11 / $182.91 / $300.58	Facility		$113.11	$182.91	$300.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $181.35	Professional		$104.73	$104.73	$181.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $104.73 / $178.04	Facility		$104.73	$104.73	$178.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $141.38	Professional		$104.73	$104.73	$141.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $98.80 / $104.73	Facility		$98.80	$98.80	$104.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $158.72	Professional		$104.73	$104.73	$158.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $158.72	Professional		$104.73	$104.73	$158.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $131.18 / $151.85	Professional		$115.20	$131.18	$151.85
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $113.28	Professional		$104.73	$104.73	$113.28