Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $81.28 / $190.55	Facility	26	$56.23	$81.28	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $281.84	Professional		$109.65	$141.25	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $245.47	Professional		$128.82	$147.91	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $281.84	Professional		$107.15	$181.97	$281.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $288.40	Professional		$107.15	$162.18	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $45.71	Professional		$32.36	$33.11	$45.71
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $245.47	Professional		$112.20	$131.83	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $190.55	Professional		$93.33	$131.83	$190.55