Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,819.70	Facility		$724.44	$1,122.02	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $891.25	Professional		$457.09	$616.60	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $1,548.82	Professional		$812.83	$912.01	$1,548.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $10,715.19 / $41,686.94	Facility		$707.95	$10,715.19	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $12,022.64 / $20,892.96	Professional		$933.25	$12,022.64	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,584.89	Facility		$489.78	$489.78	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $977.24	Professional		$891.25	$891.25	$977.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $954.99 / $4,365.16	Facility		$489.78	$954.99	$4,365.16
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 $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,513.56	Professional		$575.44	$794.33	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $691.83 / $758.58	Facility		$275.42	$691.83	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $870.96	Professional		$316.23	$457.09	$870.96