Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $100.00 / $239.88	Facility	26	$67.61	$100.00	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $645.65	Professional		$186.21	$251.19	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $363.08	Professional		$173.78	$229.09	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $501.19	Professional		$199.53	$275.42	$501.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $416.87	Professional		$199.53	$269.15	$416.87
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 Facility Modifier 26 Low / Median / High Price $457.09 / $457.09 / $457.09	Facility	26	$457.09	$457.09	$457.09
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $501.19	Professional		$245.47	$281.84	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $380.19	Professional		$158.49	$223.87	$380.19