Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,454.71 / $3,715.35	Facility		$1,348.96	$2,454.71	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $1,659.59	Professional		$1,348.96	$1,380.38	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $72.44 / $1,548.82	Professional		$0.02	$72.44	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
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 Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,737.80	Professional		$1,659.59	$1,659.59	$1,737.80