Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $51.29 / $51.29	Facility		$40.74	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $40.74 / $43.65	Professional		$39.81	$40.74	$43.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $46.77 / $66.07	Facility		$43.65	$46.77	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.02 / $95.50	Professional		$19.50	$38.02	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $72.44	Facility		$16.98	$16.98	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $134.90	Facility		$16.98	$16.98	$134.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $371.54	Professional		$56.23	$83.18	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $16.60	Professional		$9.55	$9.55	$16.60
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.42 / $32.36	Professional		$19.05	$20.42	$32.36