Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $52.48 / $134.90	Facility	26	$37.15	$52.48	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $812.83	Professional		$234.42	$288.40	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $562.34	Professional		$281.84	$354.81	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $724.44	Professional		$239.88	$371.54	$724.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $724.44	Professional		$257.04	$380.19	$724.44
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 $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $562.34	Professional		$269.15	$389.05	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $562.34	Professional		$239.88	$316.23	$562.34