Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $8,912.51 / $11,748.98	Facility		$346.74	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $575.44	Professional		$281.84	$331.13	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $707.95	Professional		$338.84	$416.87	$707.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $229.09 / $288.40	Facility		$60.26	$229.09	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $426.58 / $575.44	Facility		$389.05	$426.58	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $602.56	Professional		$309.03	$436.52	$602.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $602.56	Professional		$302.00	$416.87	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $281.84	Professional		$32.36	$56.23	$281.84
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $724.44	Professional		$331.13	$407.38	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,332.54 / $14,125.38	Facility		$4,073.80	$9,332.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $645.65	Professional		$316.23	$407.38	$645.65