Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $549.54 / $812.83	Facility		$263.03	$549.54	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $331.13	Professional		$257.04	$269.15	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $524.81 / $1,778.28	Facility		$295.12	$524.81	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $398.11	Professional		$213.80	$251.19	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $426.58	Professional		$275.42	$275.42	$426.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $275.42 / $275.42	Facility		$269.15	$275.42	$275.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $426.58	Professional		$275.42	$275.42	$426.58
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $691.83	Professional		$302.00	$407.38	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $302.00	Professional		$269.15	$281.84	$302.00