Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $933.25 / $1,584.89	Facility		$630.96	$933.25	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $794.33	Professional		$398.11	$537.03	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,995.26 / $3,630.78	Professional		$954.99	$1,995.26	$3,630.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $9,332.54 / $41,686.94	Facility		$616.60	$9,332.54	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $10,471.29 / $18,197.01	Professional		$812.83	$10,471.29	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $870.96	Facility		$426.58	$426.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $851.14	Professional		$776.25	$776.25	$851.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $758.58 / $3,801.89	Facility		$426.58	$758.58	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,318.26	Professional		$501.19	$691.83	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $758.58	Professional		$275.42	$398.11	$758.58