Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $630.96 / $891.25	Facility		$354.81	$630.96	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $446.68	Professional		$223.87	$309.03	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $467.74	Professional		$131.83	$151.36	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $5,248.07 / $41,686.94	Facility		$346.74	$5,248.07	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $5,888.44 / $10,471.29	Professional		$457.09	$5,888.44	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $794.33	Facility		$245.47	$245.47	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $478.63	Professional		$436.52	$436.52	$478.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $389.05 / $1,548.82	Facility		$251.19	$389.05	$1,548.82
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $870.96	Professional		$316.23	$416.87	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $338.84 / $371.54	Facility		$134.90	$338.84	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $436.52	Professional		$158.49	$223.87	$436.52