Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $67.61 / $75.86	Facility		$57.54	$67.61	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $63.10 / $81.28	Professional		$57.54	$63.10	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $81.28 / $123.03	Professional		$0.02	$81.28	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $169.82	Professional		$72.44	$81.28	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $138.04	Professional		$64.57	$91.20	$138.04