Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $128.82 / $218.78	Facility		$66.07	$128.82	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $100.00	Professional		$63.10	$74.13	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $11.48	Professional		$5.01	$6.03	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $100.00	Professional		$50.12	$54.95	$100.00
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
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $102.33	Professional		$100.00	$100.00	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $60.26	Professional		$33.11	$50.12	$60.26
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 Professional Modifier Low / Median / High Price $36.31 / $48.98 / $83.18	Professional		$36.31	$48.98	$83.18