Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $457.09 / $676.08	Facility		$47.86	$457.09	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $707.95	Professional		$30.20	$50.12	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $562.34	Professional		$346.74	$457.09	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $89.13 / $251.19	Facility		$54.95	$89.13	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $281.84	Professional		$81.28	$93.33	$281.84
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 $933.25 / $1,230.27 / $1,258.93	Professional		$933.25	$1,230.27	$1,258.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $104.71	Professional		$52.48	$56.23	$104.71
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $302.00 / $645.65	Professional		$128.82	$302.00	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $75.86	Professional		$39.81	$54.95	$75.86