Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $602.56 / $977.24	Facility		$389.05	$602.56	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $489.78	Professional		$245.47	$331.13	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $512.86	Professional		$97.72	$117.49	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $5,623.41 / $41,686.94	Facility		$380.19	$5,623.41	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $6,456.54 / $11,220.18	Professional		$501.19	$6,456.54	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $851.14	Facility		$263.03	$263.03	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $524.81	Professional		$467.74	$467.74	$524.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $416.87 / $1,659.59	Facility		$275.42	$416.87	$1,659.59
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $812.83	Professional		$309.03	$426.58	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $363.08 / $407.38	Facility		$147.91	$363.08	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $467.74	Professional		$169.82	$245.47	$467.74