Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $478.63 / $933.25	Facility		$338.84	$478.63	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $645.65 / $933.25	Professional		$338.84	$645.65	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $83.18	Professional		$70.79	$74.13	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $562.34 / $1,148.15	Professional		$104.71	$562.34	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $218.78 / $1,548.82	Professional		$81.28	$218.78	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,897.79	Facility		$4,168.69	$4,168.69	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,348.96	Professional		$501.19	$794.33	$1,348.96