Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $147.91	Professional		$44.67	$46.77	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $251.19	Professional		$141.25	$162.18	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $85.11	Facility		$48.98	$48.98	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $57.54	Professional		$48.98	$48.98	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $162.18	Professional		$39.81	$60.26	$162.18
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $144.54 / $158.49	Facility		$134.90	$144.54	$158.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $269.15	Professional		$123.03	$144.54	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $125.89	Professional		$57.54	$57.54	$125.89