Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,258.93 / $1,819.70	Facility		$707.95	$1,258.93	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $891.25	Professional		$446.68	$616.60	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $977.24	Professional		$74.13	$100.00	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $10,471.29 / $41,686.94	Facility		$691.83	$10,471.29	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $11,748.98 / $20,892.96	Professional		$912.01	$11,748.98	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,584.89	Facility		$489.78	$489.78	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $954.99	Professional		$870.96	$870.96	$954.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $3,090.30	Facility		$501.19	$776.25	$3,090.30
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,737.80	Professional		$630.96	$831.76	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $676.08 / $758.58	Facility		$269.15	$676.08	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $870.96	Professional		$316.23	$446.68	$870.96