Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $933.25 / $1,513.56	Facility		$602.56	$933.25	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $741.31	Professional		$380.19	$524.81	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $794.33	Professional		$257.04	$295.12	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $8,912.51 / $41,686.94	Facility		$588.84	$8,912.51	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $10,000.00 / $17,378.01	Professional		$776.25	$10,000.00	$17,378.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,348.96	Facility		$416.87	$416.87	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $812.83	Professional		$741.31	$741.31	$812.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $794.33 / $3,715.35	Facility		$416.87	$794.33	$3,715.35
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,258.93	Professional		$478.63	$660.69	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $575.44 / $630.96	Facility		$229.09	$575.44	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $724.44	Professional		$269.15	$380.19	$724.44