Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $141.25 / $346.74	Facility		$102.33	$141.25	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $162.18	Professional		$100.00	$112.20	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $204.17	Professional		$93.33	$125.89	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $257.04	Professional		$104.71	$144.54	$257.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $257.04	Professional		$102.33	$144.54	$257.04
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 $109.65 / $125.89 / $239.88	Professional		$109.65	$125.89	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $223.87	Professional		$93.33	$128.82	$223.87