Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,659.59	Facility		$645.65	$1,023.29	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $831.76	Professional		$416.87	$562.34	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $891.25	Professional		$338.84	$407.38	$891.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $9,549.93 / $41,686.94	Facility		$645.65	$9,549.93	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $10,715.19 / $19,054.61	Professional		$851.14	$10,715.19	$19,054.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $1,445.44	Facility		$446.68	$446.68	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $870.96	Professional		$794.33	$794.33	$870.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $707.95 / $2,818.38	Facility		$457.09	$707.95	$2,818.38
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,380.38	Professional		$512.86	$724.44	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $616.60 / $691.83	Facility		$251.19	$616.60	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $794.33	Professional		$288.40	$416.87	$794.33