Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $3,715.35 / $11,748.98	Facility		$77.62	$3,715.35	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $190.55	Professional		$61.66	$91.20	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $165.96	Professional		$64.57	$100.00	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $186.21	Professional		$70.79	$114.82	$186.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $186.21	Professional		$67.61	$109.65	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $912.01	Facility		$100.00	$100.00	$912.01
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $117.49 / $177.83	Professional		$63.10	$117.49	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $954.99 / $2,951.21	Facility		$467.74	$954.99	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $154.88	Professional		$64.57	$97.72	$154.88