Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,467.37	Facility		$2,691.53	$2,691.53	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $3,467.37	Professional		$1,548.82	$2,691.53	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,890.45 / $5,754.40	Facility		$3,630.78	$3,890.45	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $4,897.79	Professional		$1,621.81	$2,089.30	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,698.24 / $1,949.84	Professional		$416.87	$1,698.24	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $3,019.95	Professional		$218.78	$354.81	$3,019.95
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $7,413.10	Professional		$3,162.28	$4,073.80	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $3,715.35	Facility		$295.12	$588.84	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,754.23 / $4,570.88	Professional		$1,230.27	$2,754.23	$4,570.88