Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $407.38	Professional		$380.19	$398.11	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $457.09	Professional		$120.23	$169.82	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $478.63	Professional		$407.38	$407.38	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $102.33	Professional		$39.81	$50.12	$102.33
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $144.54 / $158.49	Facility		$134.90	$144.54	$158.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $269.15	Professional		$123.03	$144.54	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $478.63 / $478.63	Professional		$125.89	$478.63	$478.63