Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $9,120.11 / $11,748.98	Facility		$3,162.28	$9,120.11	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $6,025.60	Professional		$1,659.59	$1,659.59	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,309.57 / $15,135.61	Facility		$1,698.24	$6,309.57	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,380.38	Professional		$691.83	$870.96	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $426.58 / $21,379.62	Facility		$34.67	$426.58	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $724.44	Professional		$281.84	$457.09	$724.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $602.56 / $21,379.62	Facility		$426.58	$602.56	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $724.44	Professional		$281.84	$457.09	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $75.86	Professional		$50.12	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,691.53 / $6,760.83	Facility		$575.44	$2,691.53	$6,760.83