Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $891.25	Professional		$537.03	$630.96	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $1,412.54	Professional		$489.78	$616.60	$1,412.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $95.50 / $660.69	Facility		$47.86	$95.50	$660.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $794.33	Professional		$63.10	$87.10	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $457.09	Professional		$363.08	$363.08	$457.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $363.08 / $426.58	Professional		$85.11	$363.08	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $165.96 / $1,023.29	Professional		$60.26	$165.96	$1,023.29
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,949.84	Professional		$977.24	$1,148.15	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $331.13 / $630.96	Facility		$46.77	$331.13	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $645.65	Professional		$288.40	$436.52	$645.65