Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $323.59 / $478.63	Facility		$154.88	$323.59	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $194.98	Professional		$151.36	$162.18	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $309.03 / $1,047.13	Facility		$173.78	$309.03	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $165.96 / $281.84	Professional		$158.49	$165.96	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $257.04	Professional		$162.18	$162.18	$257.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $257.04	Professional		$162.18	$162.18	$257.04
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $389.05	Professional		$169.82	$234.42	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $173.78	Professional		$158.49	$158.49	$173.78