Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.29 / $347.19 / $371.00	Facility		$316.29	$347.19	$371.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $175.28 / $347.19	Professional		$163.77	$175.28	$347.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $33.60 / $49.59	Professional		$30.00	$33.60	$49.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.15 / $204.15 / $249.51	Facility		$204.15	$204.15	$249.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $148.66 / $178.12	Professional		$83.76	$148.66	$178.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $83.76 / $83.76	Professional		$83.76	$83.76	$83.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00