Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $169.82 / $281.84	Facility		$95.50	$169.82	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $128.82	Professional		$75.86	$95.50	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $128.82	Professional		$70.79	$83.18	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
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 $72.44 / $102.33 / $173.78	Professional		$72.44	$102.33	$173.78