Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $77.62 / $181.97	Facility	26	$57.54	$77.62	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $354.81	Professional		$144.54	$173.78	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $331.13	Professional		$138.04	$186.21	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $630.96	Professional		$263.03	$380.19	$630.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $630.96	Professional		$269.15	$389.05	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $44.67	Professional		$32.36	$33.11	$44.67
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $363.08	Professional		$162.18	$204.17	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $707.95	Professional		$245.47	$363.08	$707.95