Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $349.00 / $426.56	Facility		$134.88	$349.00	$426.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $374.97	Professional		$134.88	$134.88	$374.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.75 / $328.77 / $913.25	Facility		$210.75	$328.77	$913.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $97.50 / $219.75	Professional		$97.50	$97.50	$219.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $143.31	Facility		$0.12	$0.12	$143.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.12	Professional		$0.09	$0.09	$0.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Facility		$143.31	$143.31	$143.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $225.48	Professional		$143.31	$143.31	$225.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $225.48	Professional		$143.31	$143.31	$225.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.18 / $0.19	Professional		$0.12	$0.18	$0.19
United Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $182.93	Professional		$140.50	$140.50	$182.93