Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $83.18	Professional		$50.12	$66.07	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $112.20	Professional		$64.57	$72.44	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $50.12	Professional		$32.36	$39.81	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $138.04	Professional		$60.26	$72.44	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $131.83	Professional		$57.54	$75.86	$131.83