Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $63.10 / $74.13	Facility		$22.91	$63.10	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.44 / $28.18	Professional		$22.91	$23.44	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $46.77 / $128.82	Facility		$26.30	$46.77	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.30 / $51.29	Professional		$23.99	$26.30	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $35.48	Professional		$24.55	$24.55	$35.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $35.48	Professional		$24.55	$24.55	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12