Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $35.48 / $40.74	Facility		$12.02	$35.48	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $15.85	Professional		$12.02	$12.88	$15.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $28.84	Professional		$13.18	$16.60	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $15.49	Professional		$13.18	$13.18	$15.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $64.57	Facility		$13.18	$13.18	$64.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $16.22	Professional		$13.18	$13.18	$16.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $60.26	Professional		$30.20	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $16.22	Professional		$13.18	$13.18	$16.22