Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $234.42 / $234.42	Facility		$223.87	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $269.15	Professional		$177.83	$213.80	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $281.84	Professional		$13.80	$17.38	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $575.44	Professional		$257.04	$338.84	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $426.58	Professional		$194.98	$269.15	$426.58