Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.15 / $145.15 / $425.00	Facility		$145.15	$145.15	$425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.15 / $145.15 / $187.81	Professional		$145.15	$145.15	$187.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.09 / $172.99 / $214.45	Professional		$134.09	$172.99	$214.45
United Facility/Professional Professional Modifier Low / Median / High Price $185.78 / $242.96 / $346.68	Professional		$185.78	$242.96	$346.68