Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,905.46 / $14,454.40	Facility		$741.31	$1,905.46	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $933.25	Professional		$741.31	$758.58	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,148.15 / $2,630.27	Facility		$501.19	$1,148.15	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $794.33	Professional		$36.31	$48.98	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $954.99	Professional		$812.83	$812.83	$954.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,096.48	Facility		$812.83	$812.83	$1,096.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $954.99	Professional		$812.83	$812.83	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $7,244.36 / $9,772.37	Professional		$5,495.41	$7,244.36	$9,772.37
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,659.59	Professional		$831.76	$1,023.29	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $501.19	Facility		$457.09	$457.09	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $794.33 / $870.96	Professional		$776.25	$794.33	$870.96