Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $524.81 / $851.14	Facility		$338.84	$524.81	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $426.58	Professional		$213.80	$295.12	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $512.86	Professional		$239.88	$281.84	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $5,011.87 / $41,686.94	Facility		$331.13	$5,011.87	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $5,623.41 / $9,772.37	Professional		$436.52	$5,623.41	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $758.58	Facility		$229.09	$229.09	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $457.09	Professional		$416.87	$416.87	$457.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $363.08 / $1,445.44	Facility		$239.88	$363.08	$1,445.44
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $707.95	Professional		$269.15	$371.54	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $323.59 / $354.81	Facility		$128.82	$323.59	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $407.38	Professional		$147.91	$213.80	$407.38