Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $38.90 / $58.88	Facility		$20.89	$38.90	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $23.99	Professional		$20.89	$20.89	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $831.76 / $1,174.90	Facility		$467.74	$831.76	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.71 / $398.11	Professional		$0.02	$0.71	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
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 $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $199.53	Professional		$83.18	$125.89	$199.53