Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $537.03 / $912.01	Facility		$363.08	$537.03	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $257.04 / $380.19	Professional		$114.82	$257.04	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $467.74	Professional		$33.11	$38.90	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $5,370.32 / $41,686.94	Facility		$354.81	$5,370.32	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $6,025.60 / $10,715.19	Professional		$467.74	$6,025.60	$10,715.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $812.83	Facility		$251.19	$251.19	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $489.78	Professional		$446.68	$446.68	$489.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $199.53 / $812.83	Facility		$169.82	$199.53	$812.83
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $891.25	Professional		$323.59	$426.58	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $346.74 / $380.19	Facility		$138.04	$346.74	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $380.19	Professional		$81.28	$114.82	$380.19