Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $512.86 / $724.44	Facility		$281.84	$512.86	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $363.08	Professional		$181.97	$245.47	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $478.63	Professional		$229.09	$263.03	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $4,168.69 / $41,686.94	Facility		$281.84	$4,168.69	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $4,677.35 / $8,317.64	Professional		$371.54	$4,677.35	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $630.96	Facility		$194.98	$194.98	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $389.05	Professional		$346.74	$346.74	$389.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $309.03 / $1,230.27	Facility		$199.53	$309.03	$1,230.27
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $691.83	Professional		$257.04	$331.13	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $269.15 / $302.00	Facility		$109.65	$269.15	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $346.74	Professional		$125.89	$181.97	$346.74