Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $60.26 / $104.71	Facility		$40.74	$60.26	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $45.71	Professional		$19.95	$33.88	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.25 / $56.23	Professional		$4.37	$5.25	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $602.56 / $41,686.94	Facility		$40.74	$602.56	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $676.08 / $1,202.26	Professional		$53.70	$676.08	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $91.20	Facility		$28.18	$28.18	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $54.95	Professional		$50.12	$50.12	$54.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $44.67 / $177.83	Facility		$28.84	$44.67	$177.83
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $100.00	Professional		$37.15	$47.86	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $38.90 / $43.65	Facility		$15.49	$38.90	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $50.12	Professional		$18.20	$26.30	$50.12