Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $489.78	Professional		$151.36	$239.88	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $269.15	Professional		$125.89	$169.82	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $436.52	Professional		$169.82	$269.15	$436.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $436.52	Professional		$165.96	$263.03	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $407.38	Professional		$147.91	$257.04	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $389.05	Professional		$138.04	$223.87	$389.05