Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $851.14 / $1,445.44	Facility		$575.44	$851.14	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $645.65	Professional		$363.08	$489.78	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $724.44	Professional		$120.23	$151.36	$724.44
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 / $9,549.93 / $16,595.87	Professional		$741.31	$9,549.93	$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 / $776.25	Professional		$691.83	$691.83	$776.25
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 $457.09 / $630.96 / $1,202.26	Professional		$457.09	$630.96	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $537.03 / $602.56	Facility		$218.78	$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