Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $87.10 / $117.49	Facility		$22.91	$87.10	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $52.48	Professional		$41.69	$42.66	$52.48
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 $38.90 / $48.98 / $77.62	Professional		$38.90	$48.98	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $52.48	Professional		$44.67	$44.67	$52.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $44.67 / $44.67	Facility		$25.70	$44.67	$44.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $67.61	Professional		$44.67	$44.67	$67.61
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 Professional Modifier Low / Median / High Price $60.26 / $64.57 / $120.23	Professional		$60.26	$64.57	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $52.48	Professional		$50.12	$50.12	$52.48