Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $1,698.24 / $2,511.89	Facility		$47.86	$1,698.24	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $2,630.27	Professional		$30.20	$50.12	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,089.30	Professional		$1,288.25	$1,698.24	$2,089.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $331.13 / $933.25	Facility		$204.17	$331.13	$933.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $346.74 / $1,047.13	Professional		$338.84	$346.74	$1,047.13
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 $1,047.13 / $1,584.89 / $2,290.87	Professional		$1,047.13	$1,584.89	$2,290.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,137.96	Professional		$1,071.52	$1,548.82	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $234.42 / $436.52	Professional		$52.48	$234.42	$436.52
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,258.93 / $2,630.27	Professional		$537.03	$1,258.93	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $75.86	Professional		$39.81	$54.95	$75.86