Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $302.00 / $398.11	Facility		$295.12	$302.00	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $389.05	Professional		$295.12	$295.12	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $630.96 / $1,905.46	Facility		$316.23	$630.96	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $489.78	Professional		$281.84	$316.23	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $489.78	Professional		$323.59	$323.59	$489.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $489.78	Professional		$323.59	$323.59	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $50.12	Professional		$39.81	$50.12	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $724.44	Professional		$323.59	$346.74	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $363.08	Professional		$288.40	$346.74	$363.08