Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,230.27 / $3,548.13	Facility		$794.33	$1,230.27	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,778.28	Professional		$1,230.27	$1,548.82	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $537.03 / $602.56	Professional		$501.19	$537.03	$602.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $549.54 / $954.99	Facility		$64.57	$549.54	$954.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $537.03 / $602.56	Professional		$501.19	$537.03	$602.56
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,318.26	Facility		$416.87	$416.87	$1,318.26