Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $676.08 / $1,174.90	Facility		$457.09	$676.08	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $524.81	Professional		$288.40	$398.11	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $645.65	Professional		$288.40	$331.13	$645.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $6,760.83 / $41,686.94	Facility		$457.09	$6,760.83	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $7,585.78 / $13,489.63	Professional		$602.56	$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 $380.19 / $501.19 / $1,023.29	Facility		$380.19	$501.19	$1,023.29
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $977.24	Professional		$363.08	$512.86	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $436.52 / $489.78	Facility		$173.78	$436.52	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $562.34	Professional		$204.17	$295.12	$562.34