Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $97.72 / $354.81	Facility		$14.79	$97.72	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $14.13 / $19.95	Professional		$3.02	$14.13	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $19.05 / $645.65	Professional		$0.02	$19.05	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $64.57	Facility		$17.78	$17.78	$64.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
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 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.89 / $21.88	Professional		$20.42	$20.89	$21.88