Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $489.78	Professional		$154.88	$213.80	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $275.42	Professional		$125.89	$169.82	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $389.05	Professional		$169.82	$251.19	$389.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $398.11	Professional		$158.49	$251.19	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $426.58	Professional		$147.91	$229.09	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $346.74	Professional		$134.90	$213.80	$346.74