Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $891.25 / $1,445.44	Facility		$562.34	$891.25	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $691.83	Professional		$363.08	$489.78	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $741.31	Professional		$239.88	$302.00	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $8,317.64 / $41,686.94	Facility		$562.34	$8,317.64	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $9,332.54 / $16,595.87	Professional		$741.31	$9,332.54	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $1,258.93	Facility		$389.05	$389.05	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $758.58	Professional		$691.83	$691.83	$758.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $616.60 / $1,258.93	Facility		$467.74	$616.60	$1,258.93
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $1,202.26	Professional		$446.68	$630.96	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $537.03 / $602.56	Facility		$213.80	$537.03	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $691.83	Professional		$251.19	$363.08	$691.83