Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $6,760.83 / $12,022.64	Facility		$512.86	$6,760.83	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $741.31 / $2,187.76	Professional		$275.42	$741.31	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,165.95 / $15,135.61	Facility		$2,187.76	$6,165.95	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $851.14 / $2,454.71	Professional		$323.59	$851.14	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $741.31 / $21,379.62	Facility		$269.15	$741.31	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $691.83 / $1,698.24	Professional		$302.00	$691.83	$1,698.24
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 $275.42 / $691.83 / $1,737.80	Professional		$275.42	$691.83	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $16,982.44	Facility		$100.00	$100.00	$16,982.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $831.76 / $1,819.70	Professional		$269.15	$831.76	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $758.58 / $1,737.80	Professional		$302.00	$758.58	$1,737.80