Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $81.28 / $120.23	Facility		$38.02	$81.28	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.90 / $48.98	Professional		$38.02	$38.90	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $64.57 / $177.83	Facility		$37.15	$64.57	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $57.54	Professional		$30.20	$38.02	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $52.48	Professional		$40.74	$40.74	$52.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $52.48	Professional		$40.74	$40.74	$52.48
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $97.72	Professional		$42.66	$57.54	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $42.66	Professional		$38.90	$39.81	$42.66