Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,148.15 / $1,318.26	Facility		$478.63	$1,148.15	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $512.86	Professional		$478.63	$501.19	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,288.25 / $3,235.94	Facility		$537.03	$1,288.25	$3,235.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $933.25	Professional		$501.19	$575.44	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $602.56	Professional		$512.86	$512.86	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $60.26	Professional		$30.20	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $977.24 / $1,071.52	Facility		$891.25	$977.24	$1,071.52
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $588.84 / $1,230.27	Professional		$524.81	$588.84	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $512.86	Professional		$501.19	$501.19	$512.86