Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $933.25 / $1,230.27	Facility		$407.38	$933.25	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $407.38	Professional		$257.04	$257.04	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $114.82	Professional		$54.95	$77.62	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72,443.60 / $72,443.60 / $72,443.60	Facility		$72,443.60	$72,443.60	$72,443.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $15,135.61	Facility		$7,585.78	$7,585.78	$15,135.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $26,302.68 / $27,542.29	Facility		$12,302.69	$26,302.68	$27,542.29
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 $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
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 $5,754.40 / $5,754.40 / $17,782.79	Facility		$5,754.40	$5,754.40	$17,782.79