Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $12.02 / $30.90	Facility	26	$8.51	$12.02	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $218.78	Professional		$64.57	$83.18	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $144.54	Professional		$75.86	$95.50	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $181.97	Professional		$70.79	$102.33	$181.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $181.97	Professional		$70.79	$104.71	$181.97
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 Facility Modifier 26 Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	26	$489.78	$489.78	$489.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $169.82	Professional		$81.28	$107.15	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $151.36	Professional		$66.07	$87.10	$151.36