Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,511.89 / $3,715.35	Facility		$1,174.90	$2,511.89	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $1,513.56	Professional		$1,174.90	$1,230.27	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $1,949.84	Facility		$1,288.25	$1,778.28	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $2,238.72	Professional		$1,230.27	$1,412.54	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,995.26	Professional		$1,258.93	$1,258.93	$1,995.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $1,258.93 / $1,995.26	Professional		$18.62	$1,258.93	$1,995.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $3,019.95	Professional		$1,122.02	$1,621.81	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $512.86 / $1,202.26	Facility		$1.26	$512.86	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,318.26	Professional		$831.76	$1,288.25	$1,318.26