Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $280.97 / $431.17	Facility		$129.47	$280.97	$431.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $133.36 / $320.70	Professional		$129.47	$133.36	$320.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.84 / $226.14 / $371.61	Facility		$139.84	$226.14	$371.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $224.20	Professional		$129.47	$129.47	$224.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $129.47 / $220.12	Facility		$129.47	$129.47	$220.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $174.80	Professional		$129.47	$129.47	$174.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $122.15 / $129.47	Facility		$122.15	$122.15	$129.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $196.83	Professional		$129.47	$129.47	$196.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $196.83	Professional		$129.47	$129.47	$196.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $161.97 / $187.77	Professional		$142.44	$161.97	$187.77
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $140.05	Professional		$129.47	$129.47	$140.05