Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $588.84 / $870.96	Facility		$47.86	$588.84	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $912.01	Professional		$30.20	$50.12	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $724.44	Professional		$446.68	$588.84	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $114.82 / $323.59	Facility		$70.79	$114.82	$323.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $363.08	Professional		$107.15	$120.23	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $741.31	Professional		$338.84	$501.19	$741.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $691.83	Professional		$346.74	$501.19	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $141.25	Professional		$52.48	$74.13	$141.25
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $407.38 / $851.14	Professional		$173.78	$407.38	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $75.86	Professional		$39.81	$54.95	$75.86