Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $912.01 / $912.01	Facility		$446.68	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $512.86	Professional		$354.81	$446.68	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.04 / $44.67	Professional		$0.02	$0.04	$44.67
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 $489.78 / $512.86 / $616.60	Professional		$489.78	$512.86	$616.60
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 $39.81 / $50.12 / $60.26	Professional		$39.81	$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 $151.36 / $218.78 / $288.40	Professional		$151.36	$218.78	$288.40