Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.28 / $116.28 / $281.00	Facility		$116.28	$116.28	$281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $116.28 / $134.97	Professional		$86.76	$116.28	$134.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $128.34 / $195.71	Professional		$100.84	$128.34	$195.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.83 / $143.53 / $208.73	Professional		$107.83	$143.53	$208.73
United Facility/Professional Professional Modifier Low / Median / High Price $110.47 / $154.09 / $231.12	Professional		$110.47	$154.09	$231.12