Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $33.11	Facility		$25.70	$25.70	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $33.11	Professional		$14.13	$25.70	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $37.15 / $54.95	Facility		$35.48	$37.15	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $48.98	Professional		$15.14	$19.50	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $28.84	Professional		$25.12	$28.84	$28.84
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 / $39.81 / $72.44	Professional		$30.90	$39.81	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $36.31 / $36.31	Facility		$28.18	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $26.30 / $43.65	Professional		$11.75	$26.30	$43.65