Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.29 / $914.69 / $1,498.54	Facility		$459.29	$914.69	$1,498.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.58 / $389.23 / $462.21	Professional		$340.58	$389.23	$462.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.51 / $335.05 / $661.90	Professional		$245.51	$335.05	$661.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $486.54 / $1,423.13 / $13,985.42	Facility		$486.54	$1,423.13	$13,985.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $508.56 / $1,167.70 / $11,442.62	Professional		$508.56	$1,167.70	$11,442.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.21 / $500.94 / $2,817.22	Facility		$434.21	$500.94	$2,817.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,738.73 / $2,738.73 / $2,738.73	Professional		$2,738.73	$2,738.73	$2,738.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $434.21 / $500.94 / $2,817.22	Facility		$434.21	$500.94	$2,817.22
United Facility/Professional Facility Modifier Low / Median / High Price $175.15 / $175.15 / $437.89	Facility		$175.15	$175.15	$437.89
United Facility/Professional Professional Modifier Low / Median / High Price $204.35 / $291.92 / $642.57	Professional		$204.35	$291.92	$642.57