Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $83.18 / $95.50	Facility		$32.36	$83.18	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $112.20 / $190.55	Professional		$28.84	$112.20	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $251.19	Professional		$134.90	$165.96	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $478.63 / $41,686.94	Facility		$31.62	$478.63	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $537.03 / $933.25	Professional		$41.69	$537.03	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $288.40	Facility		$87.10	$87.10	$288.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $173.78 / $295.12	Facility		$95.50	$173.78	$295.12
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 Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $208.93	Facility		$66.07	$66.07	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $169.82 / $263.03	Professional		$37.15	$169.82	$263.03