Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $1,053.55 / $1,579.00	Facility		$508.96	$1,053.55	$1,579.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $524.23 / $1,184.51	Professional		$508.96	$524.23	$1,184.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.67 / $888.90 / $1,460.72	Facility		$549.67	$888.90	$1,460.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $858.10	Professional		$508.96	$508.96	$858.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $508.96 / $865.23	Facility		$508.96	$508.96	$865.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $687.10	Professional		$508.96	$508.96	$687.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.15 / $480.15 / $508.96	Facility		$480.15	$480.15	$508.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $770.97	Professional		$508.96	$508.96	$770.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $770.97	Professional		$508.96	$508.96	$770.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $559.85 / $649.40 / $737.99	Professional		$559.85	$649.40	$737.99
United Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $550.49	Professional		$508.96	$508.96	$550.49