Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $371.54 / $630.96	Facility		$245.47	$371.54	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $302.00	Professional		$158.49	$213.80	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $407.38	Professional		$204.17	$234.42	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $3,630.78 / $41,686.94	Facility		$245.47	$3,630.78	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $4,073.80 / $7,244.36	Professional		$323.59	$4,073.80	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $346.74	Facility		$169.82	$169.82	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $338.84	Professional		$302.00	$302.00	$338.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $302.00 / $1,513.56	Facility		$169.82	$302.00	$1,513.56
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 $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $524.81	Professional		$194.98	$275.42	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $234.42 / $263.03	Facility		$95.50	$234.42	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $302.00	Professional		$109.65	$158.49	$302.00