Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $446.68 / $724.44	Facility		$281.84	$446.68	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $346.74	Professional		$181.97	$245.47	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $371.54	Professional		$120.23	$151.36	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $4,168.69 / $41,686.94	Facility		$281.84	$4,168.69	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $4,677.35 / $8,317.64	Professional		$371.54	$4,677.35	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $630.96	Facility		$194.98	$194.98	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $389.05	Professional		$346.74	$346.74	$389.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $309.03 / $630.96	Facility		$234.42	$309.03	$630.96
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $691.83	Professional		$257.04	$331.13	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $269.15 / $302.00	Facility		$109.65	$269.15	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $346.74	Professional		$125.89	$181.97	$346.74