Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $138.40 / $231.00	Facility		$69.34	$138.40	$231.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $129.10 / $158.88	Professional		$52.49	$129.10	$158.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $128.26 / $128.26	Professional		$128.26	$128.26	$128.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $128.26 / $128.26	Professional		$128.26	$128.26	$128.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $91.92	Professional		$50.00	$60.00	$91.92
United Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $166.81 / $330.92	Professional		$117.65	$166.81	$330.92