Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,258.93 / $2,041.74	Facility		$794.33	$1,258.93	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $977.24	Professional		$512.86	$691.83	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $1,047.13	Professional		$338.84	$426.58	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $11,748.98 / $41,686.94	Facility		$794.33	$11,748.98	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $13,182.57 / $23,442.29	Professional		$1,047.13	$13,182.57	$23,442.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,778.28	Facility		$549.54	$549.54	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,071.52	Professional		$977.24	$977.24	$1,071.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $870.96 / $1,778.28	Facility		$660.69	$870.96	$1,778.28
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,949.84	Professional		$724.44	$933.25	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $758.58 / $851.14	Facility		$302.00	$758.58	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $977.24	Professional		$354.81	$512.86	$977.24