Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $316.23 / $446.68	Facility		$173.78	$316.23	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $223.87	Professional		$112.20	$151.36	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $426.58	Professional		$208.93	$239.88	$426.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,570.40 / $41,686.94	Facility		$173.78	$2,570.40	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $2,884.03 / $5,128.61	Professional		$229.09	$2,884.03	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $389.05	Facility		$120.23	$120.23	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $234.42	Professional		$213.80	$213.80	$234.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $190.55 / $758.58	Facility		$123.03	$190.55	$758.58
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $426.58	Professional		$158.49	$204.17	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $165.96 / $186.21	Facility		$66.07	$165.96	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $213.80	Professional		$77.62	$112.20	$213.80