Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $3,715.35 / $11,748.98	Facility		$51.29	$3,715.35	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $123.03	Professional		$42.66	$72.44	$123.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $128.82	Professional		$51.29	$79.43	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $77.62 / $21,379.62	Facility		$39.81	$77.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $147.91	Professional		$54.95	$89.13	$147.91
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 $56.23 / $91.20 / $147.91	Professional		$56.23	$91.20	$147.91
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 / $371.54	Facility		$100.00	$100.00	$371.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $158.49	Professional		$43.65	$83.18	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $125.89	Professional		$46.77	$74.13	$125.89