Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $125.89	Facility		$75.86	$75.86	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $123.03	Professional		$69.18	$91.20	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $144.54 / $204.17	Professional		$15.85	$144.54	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $144.54 / $158.49	Facility		$134.90	$144.54	$158.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $269.15	Professional		$117.49	$128.82	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89