Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $169.82 / $269.15	Facility		$97.72	$169.82	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $151.36	Professional		$79.43	$107.15	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $61.66	Professional		$24.55	$33.11	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $141.25 / $257.04	Facility		$64.57	$141.25	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $281.84	Professional		$109.65	$177.83	$281.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $229.09 / $257.04	Facility		$64.57	$229.09	$257.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $281.84	Professional		$117.49	$181.97	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $75.86	Professional		$60.26	$70.79	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $165.96	Professional		$93.33	$141.25	$165.96