Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,047.13	Professional		$575.44	$891.25	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $144.54	Professional		$44.67	$79.43	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $1,174.90 / $41,686.94	Facility		$77.62	$1,174.90	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $1,318.26 / $2,344.23	Professional		$102.33	$1,318.26	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $75.86	Professional		$60.26	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,348.96	Professional		$616.60	$851.14	$1,348.96