Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.74 / $697.87 / $1,086.26	Facility		$390.74	$697.87	$1,086.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $395.98 / $893.90	Professional		$392.06	$395.98	$893.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.42 / $684.73 / $1,125.21	Facility		$423.42	$684.73	$1,125.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $661.01	Professional		$392.06	$392.06	$661.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.06 / $392.06 / $666.50	Facility		$392.06	$392.06	$666.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $529.28	Professional		$392.06	$392.06	$529.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.87 / $369.87 / $392.06	Facility		$369.87	$369.87	$392.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $590.66	Professional		$392.06	$392.06	$590.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $590.66	Professional		$392.06	$392.06	$590.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $429.81 / $490.07 / $566.57	Professional		$429.81	$490.07	$566.57
United Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $424.05	Professional		$392.06	$392.06	$424.05