Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $645.65 / $1,148.15	Facility		$389.05	$645.65	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $389.05 / $478.63	Professional		$144.54	$389.05	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $588.84	Professional		$109.65	$125.89	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $6,760.83 / $41,686.94	Facility		$446.68	$6,760.83	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $7,585.78 / $13,489.63	Professional		$588.84	$7,585.78	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $1,023.29	Facility		$316.23	$316.23	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $616.60	Professional		$562.34	$562.34	$616.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $501.19 / $1,023.29	Facility		$316.23	$501.19	$1,023.29
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $954.99	Professional		$363.08	$501.19	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $436.52 / $478.63	Facility		$173.78	$436.52	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $478.63	Professional		$87.10	$123.03	$478.63