Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.67 / $94.56 / $271.00	Facility		$80.67	$94.56	$271.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $88.25 / $108.98	Professional		$80.67	$88.25	$108.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $107.60 / $310.01	Professional		$96.05	$107.60	$310.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $92.55	Professional		$92.55	$92.55	$92.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $92.55	Professional		$92.55	$92.55	$92.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $110.16 / $155.41	Professional		$82.26	$110.16	$155.41
United Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $122.72 / $188.13	Professional		$91.66	$122.72	$188.13