Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $85.11	Professional		$79.43	$83.18	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $117.49 / $190.55	Professional		$0.02	$117.49	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $100.00	Professional		$85.11	$85.11	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $102.33	Professional		$30.20	$50.12	$102.33
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 $125.89 / $162.18 / $162.18	Professional		$125.89	$162.18	$162.18