Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $5,888.44 / $10,964.78	Facility		$354.81	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $5,370.32	Professional		$186.21	$218.78	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,168.69 / $15,135.61	Facility		$1,949.84	$4,168.69	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $398.11	Professional		$181.97	$229.09	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $323.59 / $21,379.62	Facility		$165.96	$323.59	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $457.09	Professional		$199.53	$295.12	$457.09
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 $199.53 / $295.12 / $478.63	Professional		$199.53	$295.12	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $8,709.64	Facility		$100.00	$100.00	$8,709.64
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $389.05	Professional		$173.78	$204.17	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $9,120.11	Facility		$2,951.21	$5,754.40	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $407.38	Professional		$173.78	$245.47	$407.38