Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $32.36 / $77.62	Facility		$16.98	$32.36	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $22.39	Professional		$16.98	$16.98	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $52.48	Professional		$30.20	$33.88	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
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 $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
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 $38.90 / $104.71 / $147.91	Facility		$38.90	$104.71	$147.91