Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $13,182.57	Facility		$4,786.30	$11,481.54	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,011.87 / $5,128.61	Professional		$4,786.30	$5,011.87	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,309.57 / $16,595.87	Facility		$2,691.53	$6,309.57	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,606.93 / $10,471.29	Professional		$5,370.32	$6,606.93	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,025.60	Professional		$5,128.61	$5,128.61	$6,025.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,025.60	Professional		$5,128.61	$5,128.61	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,888.44 / $12,302.69	Professional		$5,248.07	$5,888.44	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $2,511.89	Facility		$2,041.74	$2,511.89	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,370.32	Professional		$5,011.87	$5,011.87	$5,370.32