Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,905.46	Facility		$758.58	$1,174.90	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $933.25	Professional		$478.63	$645.65	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $1,071.52	Professional		$501.19	$575.44	$1,071.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $10,964.78 / $41,686.94	Facility		$741.31	$10,964.78	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $12,589.25 / $21,877.62	Professional		$977.24	$12,589.25	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,659.59	Facility		$512.86	$512.86	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,023.29	Professional		$933.25	$933.25	$1,023.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,000.00 / $4,570.88	Facility		$512.86	$1,000.00	$4,570.88
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,584.89	Professional		$602.56	$831.76	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $912.01	Professional		$331.13	$478.63	$912.01