Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $457.09 / $831.76	Facility		$165.96	$457.09	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $616.60	Professional		$30.20	$50.12	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $478.63	Professional		$302.00	$389.05	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $77.62 / $213.80	Facility		$47.86	$77.62	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $239.88	Professional		$67.61	$79.43	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $457.09	Professional		$208.93	$316.23	$457.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $426.58	Professional		$208.93	$309.03	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $87.10	Professional		$46.77	$52.48	$87.10
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $257.04 / $537.03	Professional		$109.65	$257.04	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $75.86	Professional		$39.81	$54.95	$75.86