Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,623.41 / $5,623.41	Professional		$3,019.95	$5,623.41	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,413.10 / $10,715.19	Facility		$7,079.46	$7,413.10	$10,715.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,630.78 / $12,022.64	Professional		$2,511.89	$3,630.78	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $3,019.95	Facility		$2,089.30	$2,089.30	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,388.44	Professional		$2,818.38	$2,818.38	$3,388.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $3,019.95	Facility		$2,089.30	$2,089.30	$3,019.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,388.44	Professional		$2,818.38	$2,818.38	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $3,235.94	Professional		$1,862.09	$1,862.09	$3,235.94
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,630.27 / $3,311.31	Professional		$2,454.71	$2,630.27	$3,311.31