Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $57.54 / $91.20	Professional		$16.98	$57.54	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $43.65 / $109.65	Professional		$19.50	$43.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $58.88 / $120.23	Professional		$17.38	$58.88	$120.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $58.88 / $123.03	Professional		$18.20	$58.88	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $32.36 / $33.11	Professional		$14.45	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $66.07 / $123.03	Professional		$18.20	$66.07	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $38.90 / $89.13	Professional		$16.60	$38.90	$89.13