Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $851.14	Professional		$426.58	$575.44	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $831.76	Professional		$60.26	$75.86	$831.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $9,772.37 / $41,686.94	Facility		$660.69	$9,772.37	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $10,964.78 / $19,498.45	Professional		$870.96	$10,964.78	$19,498.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $891.25	Professional		$812.83	$812.83	$891.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,621.81	Professional		$602.56	$741.31	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $977.24	Professional		$295.12	$426.58	$977.24