Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $61.66 / $151.36	Facility	26	$42.66	$61.66	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $630.96	Professional		$190.55	$251.19	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $398.11	Professional		$204.17	$263.03	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $549.54	Professional		$199.53	$281.84	$549.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $489.78	Professional		$199.53	$288.40	$489.78
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 $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $446.68	Professional		$213.80	$309.03	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $426.58	Professional		$177.83	$239.88	$426.58