Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.63 / $62.63 / $77.94	Facility		$62.63	$62.63	$77.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $67.43 / $82.73	Professional		$58.86	$67.43	$82.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.30 / $92.30 / $92.30	Facility		$92.30	$92.30	$92.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $69.04 / $69.04	Professional		$69.04	$69.04	$69.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $92.30 / $92.30 / $92.30	Facility		$92.30	$92.30	$92.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $69.04 / $69.04	Professional		$69.04	$69.04	$69.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $79.68 / $107.49	Professional		$54.98	$79.68	$107.49
United Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $93.70 / $147.29	Professional		$66.31	$93.70	$147.29