Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $16,595.87 / $22,387.21	Facility		$107.15	$16,595.87	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $169.82	Professional		$97.72	$128.82	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $144.54 / $204.17	Professional		$7.08	$144.54	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $302.00	Professional		$147.91	$147.91	$302.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $302.00	Professional		$147.91	$147.91	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,949.84	Professional		$1,288.25	$1,288.25	$1,949.84
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $144.54 / $158.49	Facility		$134.90	$144.54	$158.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $269.15	Professional		$117.49	$128.82	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $173.78	Professional		$125.89	$125.89	$173.78