Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $5,888.44 / $10,964.78	Facility		$371.54	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $5,370.32	Professional		$194.98	$234.42	$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 $190.55 / $239.88 / $426.58	Professional		$190.55	$239.88	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $338.84 / $21,379.62	Facility		$173.78	$338.84	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $467.74	Professional		$208.93	$309.03	$467.74
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 $208.93 / $309.03 / $489.78	Professional		$208.93	$309.03	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
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 $186.21 / $218.78 / $407.38	Professional		$186.21	$218.78	$407.38
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 $181.97 / $257.04 / $426.58	Professional		$181.97	$257.04	$426.58