Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $147.91 / $151.36	Professional		$144.54	$147.91	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.04 / $169.82	Professional		$0.02	$0.04	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $181.97	Professional		$151.36	$151.36	$181.97
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 $60.26 / $70.79 / $181.97	Professional		$60.26	$70.79	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $181.97	Professional		$169.82	$181.97	$181.97