Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $354.81	Professional		$223.87	$281.84	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.85 / $104.71	Professional		$13.80	$15.85	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $354.81	Professional		$234.42	$234.42	$354.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $51.29 / $60.26	Professional		$44.67	$51.29	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $501.19	Professional		$257.04	$302.00	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $275.42	Facility		$151.36	$151.36	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $489.78	Professional		$208.93	$281.84	$489.78