Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,818.38 / $10,715.19	Facility		$269.15	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $288.40	Professional		$77.62	$144.54	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $208.93 / $338.84	Professional		$107.15	$208.93	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $331.13	Professional		$83.18	$165.96	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $2,951.21	Facility		$457.09	$954.99	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $398.11	Professional		$100.00	$199.53	$398.11