Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.30 / $992.41 / $1,625.85	Facility		$422.30	$992.41	$1,625.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.51 / $422.30 / $432.85	Professional		$369.51	$422.30	$432.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.32 / $271.89 / $685.17	Professional		$198.32	$271.89	$685.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $527.87 / $1,544.02 / $15,175.71	Facility		$527.87	$1,544.02	$15,175.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $551.84 / $1,266.89 / $12,416.49	Professional		$551.84	$1,266.89	$12,416.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.10 / $543.50 / $3,056.58	Facility		$471.10	$543.50	$3,056.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,970.53 / $2,970.53 / $2,970.53	Professional		$2,970.53	$2,970.53	$2,970.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $471.10 / $543.50 / $3,056.58	Facility		$471.10	$543.50	$3,056.58
United Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $316.72 / $697.16	Professional		$221.71	$316.72	$697.16