Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $1,621.81	Facility		$645.65	$954.99	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $812.83	Professional		$407.38	$549.54	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $707.95 / $1,258.93	Facility		$616.60	$707.95	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $870.96	Professional		$144.54	$181.97	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $9,332.54 / $41,686.94	Facility		$630.96	$9,332.54	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $10,715.19 / $18,620.87	Professional		$831.76	$10,715.19	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $1,412.54	Facility		$436.52	$436.52	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $870.96	Professional		$537.03	$776.25	$870.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $691.83 / $2,754.23	Facility		$457.09	$691.83	$2,754.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $1,584.89	Professional		$575.44	$741.31	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $602.56 / $676.08	Facility		$245.47	$602.56	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $776.25	Professional		$281.84	$407.38	$776.25