Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $549.54 / $741.31	Facility		$489.78	$549.54	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $741.31	Professional		$371.54	$512.86	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $1,380.38	Professional		$537.03	$851.14	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $69.18 / $109.65	Facility		$45.71	$69.18	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $125.89	Professional		$60.26	$83.18	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $151.36 / $954.99	Professional		$54.95	$151.36	$954.99
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,949.84	Professional		$933.25	$1,047.13	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $309.03 / $512.86	Facility		$38.02	$309.03	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $588.84	Professional		$234.42	$354.81	$588.84