Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $933.25 / $2,041.74	Facility		$812.83	$933.25	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,819.70	Professional		$707.95	$891.25	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $181.97	Professional		$85.11	$109.65	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,778.28	Facility		$912.01	$912.01	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,570.40	Professional		$1,288.25	$1,584.89	$2,570.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,365.16 / $4,570.88	Facility		$1,737.80	$4,365.16	$4,570.88
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 $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
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 $954.99 / $954.99 / $3,019.95	Facility		$954.99	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,584.89	Professional		$691.83	$1,023.29	$1,584.89