Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $42.66 / $123.03	Facility		$22.91	$42.66	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $33.88	Professional		$19.05	$22.91	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $30.20	Professional		$13.80	$17.38	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $1.07 / $154.88	Facility		$0.62	$1.07	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $58.88	Professional		$10.00	$15.85	$58.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $33.88 / $154.88	Facility		$1.17	$33.88	$154.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.49 / $66.07	Professional		$10.00	$15.49	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.39 / $29.51	Professional		$14.79	$22.39	$29.51
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $338.84 / $489.78	Facility		$128.82	$338.84	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.13 / $20.42	Professional		$8.71	$14.13	$20.42