Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.63 / $115.34 / $234.00	Facility		$93.63	$115.34	$234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $100.84 / $122.60	Professional		$90.76	$100.84	$122.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.62 / $122.03 / $195.99	Professional		$100.62	$122.03	$195.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $137.75 / $203.98	Professional		$103.21	$137.75	$203.98
United Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $135.47 / $204.79	Professional		$94.35	$135.47	$204.79