Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $295.12 / $478.63	Facility		$190.55	$295.12	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $229.09	Professional		$128.82	$158.49	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $239.88	Professional		$13.18	$15.14	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,818.38 / $41,686.94	Facility		$186.21	$2,818.38	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $3,162.28 / $5,495.41	Professional		$245.47	$3,162.28	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $416.87	Facility		$128.82	$128.82	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $257.04	Professional		$234.42	$234.42	$257.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $204.17 / $812.83	Facility		$134.90	$204.17	$812.83
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $467.74	Professional		$169.82	$218.78	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $181.97 / $199.53	Facility		$72.44	$181.97	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $229.09	Professional		$83.18	$120.23	$229.09