Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $1,149.85 / $40,949.24	Facility		$529.89	$1,149.85	$40,949.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $545.79 / $1,240.00	Professional		$529.89	$545.79	$1,240.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.28 / $925.45 / $1,520.78	Facility		$572.28	$925.45	$1,520.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $917.55	Professional		$529.89	$529.89	$917.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $529.89 / $900.81	Facility		$529.89	$529.89	$900.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $715.35	Professional		$529.89	$529.89	$715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.90 / $499.90 / $529.89	Facility		$499.90	$499.90	$529.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $802.06	Professional		$529.89	$529.89	$802.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $802.06	Professional		$529.89	$529.89	$802.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $582.87 / $665.72 / $768.34	Professional		$582.87	$665.72	$768.34
United Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $737.13	Professional		$529.89	$529.89	$737.13