Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $1,122.02	Facility		$446.68	$691.83	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $562.34	Professional		$281.84	$380.19	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $588.84	Professional		$186.21	$223.87	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $6,456.54 / $41,686.94	Facility		$436.52	$6,456.54	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $7,413.10 / $12,882.50	Professional		$575.44	$7,413.10	$12,882.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $977.24	Facility		$302.00	$302.00	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $602.56	Professional		$549.54	$549.54	$602.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $1,905.46	Facility		$316.23	$478.63	$1,905.46
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $933.25	Professional		$354.81	$489.78	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $416.87 / $467.74	Facility		$169.82	$416.87	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $537.03	Professional		$194.98	$281.84	$537.03