Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $1,258.93	Facility		$501.19	$776.25	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $602.56	Professional		$316.23	$436.52	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $660.69	Professional		$208.93	$263.03	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $7,413.10 / $41,686.94	Facility		$489.78	$7,413.10	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $8,317.64 / $14,454.40	Professional		$645.65	$8,317.64	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $1,122.02	Facility		$346.74	$346.74	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $676.08	Professional		$616.60	$616.60	$676.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $549.54 / $1,122.02	Facility		$407.38	$549.54	$1,122.02
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $1,047.13	Professional		$398.11	$549.54	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $478.63 / $524.81	Facility		$190.55	$478.63	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $602.56	Professional		$223.87	$316.23	$602.56