Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $114.82	Facility		$63.10	$63.10	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $134.90	Professional		$75.86	$117.49	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $213.80	Professional		$117.49	$151.36	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
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 $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89