Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,698.24	Facility		$676.08	$1,000.00	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $851.14	Professional		$501.19	$588.84	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $741.31	Professional		$8.91	$11.22	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $11,220.18 / $19,498.45	Professional		$870.96	$11,220.18	$19,498.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,513.56	Facility		$467.74	$467.74	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $812.83 / $1,023.29	Professional		$467.74	$812.83	$1,023.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $467.74 / $4,168.69	Facility		$354.81	$467.74	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,412.54	Professional		$467.74	$741.31	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $467.74 / $707.95	Facility		$257.04	$467.74	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $707.95	Professional		$302.00	$426.58	$707.95