Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $218.78 / $724.44	Facility		$89.13	$218.78	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $114.82	Professional		$89.13	$93.33	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.07	Facility		$0.02	$0.02	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $223.87	Professional		$112.20	$141.25	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $112.20	Professional		$95.50	$95.50	$112.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $95.50 / $117.49	Facility		$47.86	$95.50	$117.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $144.54	Professional		$95.50	$95.50	$144.54
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 / $147.91 / $269.15	Professional		$60.26	$147.91	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $109.65	Professional		$100.00	$100.00	$109.65