Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $1.05 / $1.05	Professional		$0.02	$1.05	$1.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.91 / $74.13	Facility		$17.38	$22.91	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.59 / $22.91	Professional		$10.72	$12.59	$22.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.11 / $74.13	Facility		$14.79	$33.11	$74.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.59 / $22.91	Professional		$10.72	$12.59	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.31 / $7.59	Professional		$4.17	$6.31	$7.59
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00