Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.88 / $32.36	Facility		$16.98	$21.88	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $47.86	Professional		$16.98	$16.98	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $134.90	Professional		$75.86	$87.10	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $213.80	Professional		$186.21	$204.17	$213.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86