Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $3,548.13 / $6,606.93	Professional		$741.31	$3,548.13	$6,606.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,513.56	Professional		$691.83	$912.01	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,949.84 / $6,456.54	Professional		$812.83	$1,949.84	$6,456.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,238.72 / $6,456.54	Professional		$776.25	$2,238.72	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $3,090.30 / $5,888.44	Professional		$707.95	$3,090.30	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,995.26 / $5,754.40	Professional		$691.83	$1,995.26	$5,754.40