Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $741.31 / $912.01	Facility		$165.96	$741.31	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $2,630.27	Professional		$75.86	$79.43	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.07	Professional		$0.02	$0.02	$0.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $891.25	Facility		$104.71	$104.71	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $112.20	Professional		$102.33	$102.33	$112.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $891.25	Facility		$104.71	$173.78	$891.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $60.26	Professional		$30.20	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $70.79	Professional		$60.26	$60.26	$70.79