Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $263.03	Professional		$100.00	$144.54	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $181.97	Professional		$67.61	$100.00	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $295.12	Professional		$104.71	$169.82	$295.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $302.00	Professional		$109.65	$177.83	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $288.40	Professional		$95.50	$154.88	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $239.88	Professional		$91.20	$141.25	$239.88