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 $102.33 / $125.89 / $194.98	Professional		$102.33	$125.89	$194.98
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 $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 / $181.97 / $181.97	Professional		$125.89	$181.97	$181.97