Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $36.31 / $83.18	Facility	26	$25.70	$36.31	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $239.88	Professional		$134.90	$173.78	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $204.17	Professional		$72.44	$107.15	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $30.90 / $43.65	Facility	26	$6.61	$30.90	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $346.74	Professional		$100.00	$181.97	$346.74
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $30.90 / $43.65	Facility	26	$6.61	$30.90	$43.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $331.13	Professional		$104.71	$181.97	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $32.36 / $93.33	Professional		$13.18	$32.36	$93.33
SummaCare Facility/Professional Facility Modifier 26 Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	26	$263.03	$263.03	$263.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $323.59	Professional		$147.91	$173.78	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $275.42	Professional		$100.00	$154.88	$275.42