Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $144.54 / $144.54	Facility		$14.13	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $144.54	Professional		$14.13	$14.13	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $208.93	Facility		$56.23	$56.23	$208.93