Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $269.15	Professional		$47.86	$95.50	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $93.33	Professional		$42.66	$56.23	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $177.83	Professional		$57.54	$97.72	$177.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $181.97	Professional		$56.23	$97.72	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $102.33 / $165.96	Professional		$44.67	$102.33	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $144.54	Professional		$45.71	$79.43	$144.54