Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $47.86	Professional		$19.95	$22.91	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $114.82	Professional		$27.54	$41.69	$114.82
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $75.86 / $208.93	Professional		$38.02	$75.86	$208.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $208.93	Professional		$38.90	$57.54	$208.93
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 Professional Modifier Low / Median / High Price $22.91 / $26.92 / $50.12	Professional		$22.91	$26.92	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.84 / $46.77	Professional		$18.62	$28.84	$46.77