Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $74.13	Professional		$58.88	$58.88	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $562.34	Professional		$54.95	$91.20	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $446.68 / $524.81	Professional		$158.49	$446.68	$524.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $524.81	Professional		$446.68	$446.68	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,818.38 / $5,128.61	Professional		$1,621.81	$2,818.38	$5,128.61