Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.38 / $441.38 / $441.38	Facility		$441.38	$441.38	$441.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $254.94 / $622.74	Professional		$17.60	$254.94	$622.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $28.55 / $40.97	Professional		$25.00	$28.55	$40.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $11.30 / $11.30	Professional		$11.30	$11.30	$11.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $11.30 / $11.30	Professional		$11.30	$11.30	$11.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $25.08 / $25.08	Professional		$25.08	$25.08	$25.08