Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $1,548.82	Facility		$602.56	$954.99	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $776.25	Professional		$446.68	$512.86	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $724.44	Professional		$208.93	$257.04	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $10,000.00 / $17,782.79	Professional		$794.33	$10,000.00	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,348.96	Facility		$416.87	$416.87	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $676.08 / $831.76	Professional		$416.87	$676.08	$831.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $416.87 / $3,715.35	Facility		$316.23	$416.87	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $676.08 / $1,288.25	Professional		$416.87	$676.08	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $416.87 / $645.65	Facility		$229.09	$416.87	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $645.65	Professional		$269.15	$380.19	$645.65