Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $691.83	Professional		$478.63	$549.54	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $467.74	Professional		$213.80	$275.42	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $588.84 / $112,201.85	Facility		$512.86	$588.84	$112,201.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $645.65	Professional		$562.34	$562.34	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $870.96 / $870.96	Facility		$467.74	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,174.90	Professional		$457.09	$660.69	$1,174.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $1,023.29	Professional		$457.09	$645.65	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $363.08	Professional		$181.97	$263.03	$363.08
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $954.99	Professional		$436.52	$512.86	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $758.58	Professional		$323.59	$436.52	$758.58