Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $7,079.46 / $12,022.64	Facility		$1,258.93	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $5,128.61	Professional		$741.31	$912.01	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,019.95 / $7,943.28	Facility		$1,071.52	$3,019.95	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,479.11	Professional		$691.83	$870.96	$1,479.11
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $1,047.13 / $1,621.81	Professional		$194.98	$1,047.13	$1,621.81
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 $194.98 / $1,047.13 / $1,621.81	Professional		$194.98	$1,047.13	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,570.40	Facility		$100.00	$100.00	$2,570.40
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,659.59	Professional		$741.31	$870.96	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $7,244.36	Facility		$2,238.72	$4,265.80	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,445.44	Professional		$691.83	$891.25	$1,445.44