Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $223.87	Professional		$114.82	$144.54	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $251.19	Professional		$112.20	$147.91	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $269.15	Professional		$120.23	$177.83	$269.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $281.84	Professional		$120.23	$177.83	$281.84
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 $107.15 / $158.49 / $302.00	Professional		$107.15	$158.49	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $239.88	Professional		$107.15	$151.36	$239.88