Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,737.80	Facility		$691.83	$1,023.29	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $724.44	Professional		$436.52	$588.84	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $891.25	Professional		$257.04	$295.12	$891.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $10,000.00 / $41,686.94	Facility		$676.08	$10,000.00	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $11,481.54 / $19,952.62	Professional		$891.25	$11,481.54	$19,952.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,513.56	Facility		$467.74	$467.74	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $933.25	Professional		$831.76	$831.76	$933.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $1,513.56	Facility		$562.34	$741.31	$1,513.56
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,698.24	Professional		$616.60	$794.33	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $645.65 / $724.44	Facility		$263.03	$645.65	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $831.76	Professional		$302.00	$436.52	$831.76