Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $977.24 / $3,311.31	Facility		$269.15	$977.24	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,288.25	Professional		$812.83	$977.24	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,398.83	Professional		$891.25	$1,122.02	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $257.04 / $3,801.89	Facility		$95.50	$257.04	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $912.01	Professional		$93.33	$128.82	$912.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $158.49 / $831.76	Facility		$95.50	$158.49	$831.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $128.82	Professional		$93.33	$100.00	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $60.26	Professional		$30.20	$30.20	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $407.38 / $1,445.44	Facility		$338.84	$407.38	$1,445.44