Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $6,606.93	Facility		$707.95	$1,995.26	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $602.56 / $812.83	Professional		$588.84	$602.56	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $758.58 / $2,137.96	Facility		$363.08	$758.58	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,348.96	Professional		$724.44	$891.25	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $660.69 / $1,318.26	Facility		$389.05	$660.69	$1,318.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $776.25	Professional		$660.69	$660.69	$776.25
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 $380.19 / $416.87 / $457.09	Facility		$380.19	$416.87	$457.09
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $1,584.89	Professional		$676.08	$758.58	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $831.76	Professional		$645.65	$645.65	$831.76