Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $386.14 / $621.17	Facility		$149.22	$386.14	$621.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $149.22 / $414.86	Professional		$149.22	$149.22	$414.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.12 / $93.19 / $363.75	Facility		$56.12	$93.19	$363.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $62.87 / $209.22	Professional		$51.96	$62.87	$209.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.49 / $39.49 / $67.13	Facility		$39.49	$39.49	$67.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $39.49 / $39.49	Professional		$39.49	$39.49	$39.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $243.62	Professional		$158.56	$158.56	$243.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $243.62	Professional		$158.56	$158.56	$243.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $103.16 / $119.66	Professional		$90.78	$103.16	$119.66
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $203.64	Professional		$155.44	$155.44	$203.64