Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $26.92 / $346.74	Facility		$19.95	$26.92	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $28.84	Professional		$19.95	$19.95	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.78 / $27.54	Professional		$14.45	$17.78	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $125.89 / $141.25	Facility		$64.57	$125.89	$141.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $125.89 / $141.25	Facility		$64.57	$125.89	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86