Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.30 / $221.67 / $455.27	Facility		$115.30	$221.67	$455.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.70 / $421.70 / $421.70	Facility		$421.70	$421.70	$421.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $421.70 / $421.70 / $421.70	Facility		$421.70	$421.70	$421.70