Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $1,445.44 / $1,548.82	Facility		$15.85	$1,445.44	$1,548.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $1,000.00	Facility		$104.71	$104.71	$1,000.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40