Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $75.05 / $114.80	Facility		$75.05	$75.05	$114.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $100.66 / $194.82	Professional		$72.00	$100.66	$194.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $40.25 / $40.25	Professional		$40.25	$40.25	$40.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $93.21 / $93.21	Facility		$93.21	$93.21	$93.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $93.21 / $93.21	Facility		$93.21	$93.21	$93.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $103.50 / $193.56	Professional		$75.20	$103.50	$193.56