Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.76 / $1,104.01 / $1,937.43	Facility		$508.76	$1,104.01	$1,937.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.51 / $510.56 / $1,159.97	Professional		$505.51	$510.56	$1,159.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.32 / $872.52 / $1,460.14	Facility		$512.32	$872.52	$1,460.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $880.96	Professional		$508.76	$508.76	$880.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $508.76 / $508.76 / $864.89	Facility		$508.76	$508.76	$864.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $686.83	Professional		$508.76	$508.76	$686.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.96 / $479.96 / $508.76	Facility		$479.96	$479.96	$508.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $752.98	Professional		$508.76	$508.76	$752.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $752.98	Professional		$508.76	$508.76	$752.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $556.06 / $635.95 / $732.98	Professional		$556.06	$635.95	$732.98
United Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $550.27	Professional		$508.76	$508.76	$550.27