Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.62 / $224.41 / $360.34	Facility		$129.62	$224.41	$360.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $129.62 / $224.41	Professional		$129.62	$129.62	$224.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.42 / $81.17 / $128.09	Professional		$67.42	$81.17	$128.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $162.02	Professional		$137.72	$137.72	$162.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $123.50	Facility		$123.50	$123.50	$123.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $162.02	Professional		$137.72	$137.72	$162.02
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 $153.91 / $153.91 / $200.40	Professional		$153.91	$153.91	$200.40