Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $34.67 / $61.66	Facility		$21.88	$34.67	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $32.36	Professional		$18.20	$22.39	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.85 / $25.12	Professional		$13.49	$15.85	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $1.02 / $114.82	Facility		$0.59	$1.02	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $57.54	Professional		$10.00	$16.22	$57.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $33.11 / $114.82	Facility		$1.12	$33.11	$114.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.14 / $63.10	Professional		$9.77	$15.14	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $31.62	Professional		$15.85	$23.99	$31.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
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 $302.00 / $891.25 / $1,288.25	Facility		$302.00	$891.25	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.80 / $19.50	Professional		$8.71	$13.80	$19.50