Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $84.60 / $93.96	Facility		$36.00	$84.60	$93.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $38.25	Professional		$36.00	$36.00	$38.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.25 / $87.75 / $243.75	Facility		$56.25	$87.75	$243.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $43.91 / $79.12	Professional		$38.18	$43.91	$79.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $45.00	Professional		$38.25	$38.25	$45.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $57.31	Professional		$38.25	$38.25	$57.31
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 $37.50 / $37.50 / $49.13	Professional		$37.50	$37.50	$49.13