Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,348.96 / $3,801.89	Professional		$354.81	$1,348.96	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,412.54 / $4,365.16	Professional		$446.68	$1,412.54	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,071.52 / $3,090.30	Professional		$338.84	$1,071.52	$3,090.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,122.02 / $3,467.37	Professional		$338.84	$1,122.02	$3,467.37
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 $338.84 / $1,380.38 / $3,162.28	Professional		$338.84	$1,380.38	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,122.02 / $3,235.94	Professional		$363.08	$1,122.02	$3,235.94