Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $218.78 / $380.19	Facility		$147.91	$218.78	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $186.21	Professional		$93.33	$128.82	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $190.55	Professional		$13.18	$15.14	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $2,187.76 / $41,686.94	Facility		$144.54	$2,187.76	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $2,454.71 / $4,365.16	Professional		$194.98	$2,454.71	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $331.13	Facility		$102.33	$102.33	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $199.53	Professional		$181.97	$181.97	$199.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $162.18 / $331.13	Facility		$120.23	$162.18	$331.13
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $309.03	Professional		$117.49	$165.96	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $141.25 / $158.49	Facility		$56.23	$141.25	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $181.97	Professional		$66.07	$93.33	$181.97