Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $707.95 / $1,047.13	Facility		$47.86	$707.95	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $1,122.02	Professional		$30.20	$50.12	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $870.96	Professional		$549.54	$724.44	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $141.25 / $389.05	Facility		$87.10	$141.25	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $436.52	Professional		$134.90	$147.91	$436.52
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 $416.87 / $630.96 / $912.01	Professional		$416.87	$630.96	$912.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $870.96	Professional		$426.58	$616.60	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $173.78	Professional		$52.48	$93.33	$173.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $501.19 / $1,071.52	Professional		$213.80	$501.19	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $75.86	Professional		$39.81	$54.95	$75.86