Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $426.58 / $10,715.19	Facility		$87.10	$426.58	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $190.55	Professional		$56.23	$89.13	$190.55
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 $61.66 / $89.13 / $144.54	Professional		$61.66	$89.13	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $93.33 / $21,379.62	Facility		$47.86	$93.33	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $165.96	Professional		$64.57	$102.33	$165.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $316.23 / $21,379.62	Facility		$186.21	$316.23	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $165.96	Professional		$66.07	$102.33	$165.96
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 / $245.47	Facility		$100.00	$100.00	$245.47
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $177.83	Professional		$51.29	$93.33	$177.83
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 $56.23 / $87.10 / $144.54	Professional		$56.23	$87.10	$144.54