Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $389.05 / $575.44	Facility		$47.86	$389.05	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $616.60	Professional		$30.20	$50.12	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $489.78	Professional		$302.00	$389.05	$489.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $77.62 / $213.80	Facility		$47.86	$77.62	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $239.88	Professional		$67.61	$79.43	$239.88
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 $794.33 / $1,148.15 / $1,202.26	Professional		$794.33	$1,148.15	$1,202.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $87.10	Professional		$46.77	$52.48	$87.10
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $257.04 / $537.03	Professional		$109.65	$257.04	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $75.86	Professional		$39.81	$54.95	$75.86