Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.14 / $1,080.96 / $20,055.31	Facility		$498.14	$1,080.96	$20,055.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $513.08 / $1,383.88	Professional		$498.14	$513.08	$1,383.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.98 / $802.01 / $1,429.63	Facility		$537.98	$802.01	$1,429.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $862.57	Professional		$498.14	$498.14	$862.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $498.14 / $498.14 / $846.84	Facility		$498.14	$498.14	$846.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $672.49	Professional		$498.14	$498.14	$672.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.94 / $469.94 / $498.14	Facility		$469.94	$469.94	$498.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $751.74	Professional		$498.14	$498.14	$751.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $751.74	Professional		$498.14	$498.14	$751.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $547.58 / $622.67 / $721.81	Professional		$547.58	$622.67	$721.81
United Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $538.79	Professional		$498.14	$498.14	$538.79