Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $33.88	Facility		$25.70	$25.70	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $33.88	Professional		$15.14	$25.70	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $38.02 / $56.23	Facility		$36.31	$38.02	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.95 / $50.12	Professional		$15.49	$19.95	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $25.70	Professional		$16.22	$16.22	$25.70
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $72.44	Professional		$30.90	$40.74	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $36.31 / $36.31	Facility		$28.84	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $26.92 / $44.67	Professional		$12.02	$26.92	$44.67