Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $120.23	Professional		$75.86	$100.00	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $190.55	Professional		$83.18	$114.82	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
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 $100.00 / $112.20 / $234.42	Professional		$100.00	$112.20	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $186.21	Professional		$87.10	$125.89	$186.21