Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.97 / $1,258.53 / $1,931.30	Facility		$579.97	$1,258.53	$1,931.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $585.79 / $1,449.92	Professional		$579.97	$585.79	$1,449.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $626.36 / $933.75 / $1,652.91	Facility		$626.36	$933.75	$1,652.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $977.82	Professional		$579.97	$579.97	$977.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $579.97 / $579.97 / $985.95	Facility		$579.97	$579.97	$985.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $782.96	Professional		$579.97	$579.97	$782.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.14 / $547.14 / $579.97	Facility		$547.14	$547.14	$579.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $889.13	Professional		$579.97	$579.97	$889.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $889.13	Professional		$579.97	$579.97	$889.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $637.96 / $724.98 / $840.95	Professional		$637.96	$724.98	$840.95
United Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $759.76	Professional		$579.97	$579.97	$759.76