Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $1,148.49 / $1,635.00	Facility		$529.26	$1,148.49	$1,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.25 / $534.54 / $1,270.22	Professional		$529.25	$534.54	$1,270.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $571.60 / $924.35 / $1,518.98	Facility		$571.60	$924.35	$1,518.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $1,005.59	Professional		$529.26	$529.26	$1,005.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $529.26 / $899.74	Facility		$529.26	$529.26	$899.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $714.50	Professional		$529.26	$529.26	$714.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.30 / $499.30 / $529.26	Facility		$499.30	$499.30	$529.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $1,845.56	Professional		$529.26	$529.26	$1,845.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $1,845.56	Professional		$529.26	$529.26	$1,845.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $582.18 / $673.10 / $767.42	Professional		$582.18	$673.10	$767.42
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $693.33	Professional		$529.26	$529.26	$693.33