Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $46.77 / $120.23	Facility	26	$33.11	$46.77	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $588.84	Professional		$181.97	$245.47	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $331.13	Professional		$165.96	$218.78	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $524.81	Professional		$190.55	$269.15	$524.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $501.19	Professional		$190.55	$275.42	$501.19
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 $489.78 / $489.78 / $489.78	Facility	26	$489.78	$489.78	$489.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $446.68	Professional		$213.80	$281.84	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $407.38	Professional		$151.36	$234.42	$407.38