Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,479.11	Facility		$954.99	$1,047.13	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $954.99 / $1,412.54	Professional		$537.03	$954.99	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $2,041.74	Professional		$758.58	$1,071.52	$2,041.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $181.97 / $2,454.71	Facility		$75.86	$181.97	$2,454.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $204.17 / $1,819.70	Professional		$97.72	$204.17	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $288.40 / $1,819.70	Professional		$104.71	$288.40	$1,819.70
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $3,715.35	Professional		$1,819.70	$1,995.26	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $117.49 / $1,000.00	Facility		$70.79	$117.49	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $794.33	Professional		$58.88	$91.20	$794.33