Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $158.86 / $1,043.40	Facility		$57.56	$158.86	$1,043.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $57.56 / $76.04	Professional		$57.56	$57.56	$76.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.11 / $351.32 / $570.67	Professional		$252.11	$351.32	$570.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Facility		$80.29	$80.29	$80.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
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 $28.07 / $57.85 / $92.50	Professional		$28.07	$57.85	$92.50