Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $416.87 / $676.08	Facility		$269.15	$416.87	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $323.59	Professional		$169.82	$229.09	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $316.23 / $549.54	Professional		$288.40	$316.23	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $3,981.07 / $41,686.94	Facility		$263.03	$3,981.07	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $4,466.84 / $7,762.47	Professional		$346.74	$4,466.84	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $602.56	Facility		$181.97	$181.97	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $363.08	Professional		$331.13	$331.13	$363.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $288.40 / $602.56	Facility		$218.78	$288.40	$602.56
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $562.34	Professional		$213.80	$295.12	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $257.04 / $281.84	Facility		$102.33	$257.04	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $323.59	Professional		$117.49	$169.82	$323.59