Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,778.28	Facility		$707.95	$1,096.48	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $891.25	Professional		$446.68	$602.56	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $954.99	Professional		$338.84	$398.11	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $10,471.29 / $41,686.94	Facility		$691.83	$10,471.29	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $11,748.98 / $20,892.96	Professional		$912.01	$11,748.98	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,584.89	Facility		$489.78	$489.78	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $954.99	Professional		$870.96	$870.96	$954.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $3,090.30	Facility		$501.19	$776.25	$3,090.30
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,479.11	Professional		$562.34	$794.33	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $676.08 / $741.31	Facility		$269.15	$676.08	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $851.14	Professional		$316.23	$446.68	$851.14