Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,905.46	Facility		$741.31	$1,096.48	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $794.33	Professional		$467.74	$630.96	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $1,122.02	Professional		$537.03	$616.60	$1,122.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $10,964.78 / $41,686.94	Facility		$724.44	$10,964.78	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $12,302.69 / $21,877.62	Professional		$977.24	$12,302.69	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,659.59	Facility		$512.86	$512.86	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,000.00	Professional		$912.01	$912.01	$1,000.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $1,659.59	Facility		$602.56	$812.83	$1,659.59
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,819.70	Professional		$676.08	$870.96	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $707.95 / $794.33	Facility		$281.84	$707.95	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $912.01	Professional		$331.13	$467.74	$912.01