Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $194.98	Professional		$125.89	$165.96	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $316.23	Professional		$138.04	$190.55	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $407.38	Professional		$177.83	$194.98	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $316.23	Professional		$147.91	$208.93	$316.23