Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,819.70	Facility		$724.44	$1,122.02	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $891.25	Professional		$457.09	$616.60	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $977.24	Professional		$302.00	$380.19	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $10,715.19 / $41,686.94	Facility		$707.95	$10,715.19	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $12,022.64 / $20,892.96	Professional		$933.25	$12,022.64	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,584.89	Facility		$489.78	$489.78	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $977.24	Professional		$891.25	$891.25	$977.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $954.99 / $4,365.16	Facility		$489.78	$954.99	$4,365.16
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,778.28	Professional		$645.65	$831.76	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $870.96	Professional		$316.23	$457.09	$870.96