Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $408.00	Facility		$1.26	$1.26	$408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $155.25 / $223.95	Professional		$125.00	$155.25	$223.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $196.48 / $196.48	Professional		$196.48	$196.48	$196.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $196.48 / $196.48	Professional		$196.48	$196.48	$196.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00