Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $40.74 / $1,412.54	Facility		$12.02	$40.74	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $60.26	Professional		$8.91	$8.91	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.75 / $8.71	Professional		$5.01	$5.75	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $100.00	Professional		$60.26	$60.26	$100.00
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $75.86	Professional		$50.12	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $141.25 / $199.53	Facility		$51.29	$141.25	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $33.11	Professional		$31.62	$31.62	$33.11