Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $724.44 / $933.25	Facility		$363.08	$724.44	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $363.08	Professional		$295.12	$302.00	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $302.00 / $691.83	Facility		$0.02	$302.00	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $691.83	Professional		$363.08	$457.09	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $363.08	Professional		$309.03	$309.03	$363.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $467.74	Professional		$309.03	$309.03	$467.74
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 Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $446.68 / $831.76	Professional		$60.26	$446.68	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $275.42 / $275.42	Facility		$177.83	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $346.74	Professional		$302.00	$302.00	$346.74