Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $741.31 / $1,122.02	Facility		$398.11	$741.31	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $501.19	Professional		$398.11	$416.87	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $398.11 / $501.19	Professional		$0.02	$398.11	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
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 $501.19 / $501.19 / $512.86	Professional		$501.19	$501.19	$512.86