Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $446.68	Professional		$281.84	$354.81	$446.68
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 $288.40 / $288.40 / $446.68	Professional		$288.40	$288.40	$446.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $53.70 / $63.10	Professional		$46.77	$53.70	$63.10
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $630.96	Professional		$316.23	$371.54	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $524.81	Professional		$257.04	$354.81	$524.81