Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,995.26	Facility		$691.83	$1,096.48	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $549.54	Professional		$263.03	$316.23	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $616.60	Professional		$309.03	$489.78	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $707.95 / $1,148.15	Facility		$239.88	$707.95	$1,148.15
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $575.44	Facility		$181.97	$181.97	$575.44