Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $53.70	Facility		$39.81	$39.81	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $48.98	Professional		$30.20	$39.81	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $74.13	Professional		$43.65	$52.48	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $91.20	Professional		$38.90	$47.86	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $85.11	Professional		$34.67	$48.98	$85.11