Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $28.18 / $40.74	Facility		$13.18	$28.18	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $16.60	Professional		$12.88	$12.88	$16.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $29.51 / $89.13	Facility		$14.79	$29.51	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.13 / $23.99	Professional		$13.49	$14.13	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $21.88	Professional		$13.80	$13.80	$21.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $21.88	Professional		$13.80	$13.80	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.62 / $6.61	Professional		$4.37	$5.62	$6.61
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.95 / $33.88	Professional		$14.45	$19.95	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $14.79	Professional		$13.49	$13.49	$14.79