Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $263.03 / $380.19 / $933.25	Facility	26	$263.03	$380.19	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $2,630.27	Professional		$724.44	$933.25	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,584.89	Professional		$870.96	$1,071.52	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,949.84	Professional		$794.33	$1,148.15	$1,949.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,862.09	Professional		$812.83	$1,148.15	$1,862.09
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 $851.14 / $851.14 / $851.14	Facility	26	$851.14	$851.14	$851.14
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,995.26	Professional		$891.25	$1,096.48	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,659.59	Professional		$707.95	$977.24	$1,659.59