Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.14 / $263.50 / $371.58	Facility		$97.14	$263.50	$371.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $97.14 / $270.05	Professional		$97.14	$97.14	$270.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.79 / $236.78 / $657.74	Facility		$151.79	$236.78	$657.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $29.45 / $131.34	Professional		$23.56	$29.45	$131.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.67 / $12.67 / $17.39	Facility		$12.67	$12.67	$17.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $131.75	Professional		$101.19	$101.19	$131.75