Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $245.47 / $831.76	Facility		$38.90	$245.47	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $275.42 / $275.42	Professional		$104.71	$275.42	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $223.87 / $354.81	Professional		$39.81	$223.87	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $257.04 / $1,584.89	Facility		$104.71	$257.04	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $194.98 / $213.80	Professional		$93.33	$194.98	$213.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $309.03 / $831.76	Facility		$134.90	$309.03	$831.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $194.98 / $213.80	Professional		$93.33	$194.98	$213.80
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 $239.88 / $338.84 / $407.38	Facility		$239.88	$338.84	$407.38