Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $870.96 / $1,412.54	Facility		$549.54	$870.96	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $676.08	Professional		$346.74	$478.63	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $758.58	Professional		$288.40	$354.81	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $8,128.31 / $41,686.94	Facility		$549.54	$8,128.31	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $9,120.11 / $16,218.10	Professional		$724.44	$9,120.11	$16,218.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $1,230.27	Facility		$380.19	$380.19	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $741.31	Professional		$676.08	$676.08	$741.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $602.56 / $1,230.27	Facility		$457.09	$602.56	$1,230.27
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,174.90	Professional		$436.52	$616.60	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $524.81 / $588.84	Facility		$208.93	$524.81	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $676.08	Professional		$245.47	$354.81	$676.08