Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $24.55 / $36.31	Facility		$11.75	$24.55	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $14.79	Professional		$10.96	$12.02	$14.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $18.20 / $79.43	Facility		$13.18	$18.20	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $17.78	Professional		$9.33	$11.22	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $17.78	Professional		$12.30	$12.30	$17.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $17.78	Professional		$12.30	$12.30	$17.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $30.90	Professional		$13.49	$18.20	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.59 / $13.49	Professional		$12.02	$12.59	$13.49