Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $166.47 / $178.00	Facility		$153.44	$166.47	$178.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $85.03 / $197.44	Professional		$85.03	$85.03	$197.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $560.00 / $826.50	Professional		$500.00	$560.00	$826.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.14 / $207.14 / $253.18	Facility		$207.14	$207.14	$253.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $130.90 / $130.90	Facility		$130.90	$130.90	$130.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $75.23 / $75.23	Professional		$75.23	$75.23	$75.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $75.23 / $75.23	Professional		$75.23	$75.23	$75.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.93 / $189.93 / $189.93	Professional		$189.93	$189.93	$189.93